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See a sample rate comparisonMS-DRG 191 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
| Key Fact | Detail |
|---|---|
| Service Type | Diseases & Disorders of the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 191 by major payers:
$10,636.62
$12,139.66
$14,013.28
$14,185.92
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MS-DRG 191
5 of 25 sample ratesHigher to lower in this preview
Palmetto Health
Prisma Health-Midlands
$23,612.53Published rateSouth Shore University Hospital, Psychiatric Unit
South Shore University Hospital
$15,806.00Published rateSwedish Edmonds, Public Hospital District 2 Of Snohomish County
Swedish Edmonds
$11,010.76Published rateJackson County Schneck Memorial Hospital, Schneck Medical Center
Jackson County Schneck Memorial Hospital
$8,089.27Published rateOuachita County Medical Center
$3,105.00Published rate
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See a sample payer proposalMS-DRG 191 vs. Other Diseases & Disorders of the Respiratory System Codes
The MS-DRG 191 code is part of the Diseases & Disorders of the Respiratory System services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The MS-DRG 191 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 190-APR-DRG | High | ACUTE MYOCARDIAL INFARCTION |
| 190-MS-DRG | High | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC |
| 191-MS-DRG | High | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC |
| 192-APR-DRG | High | CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 191. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 191 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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