MS-DRG 200 Fee Schedule
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.
| 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 200 by major payers:
$13,196.02
$14,823.34
$17,445.03
$17,872.85
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for MS-DRG 200 | ||||||
United | 200 | $15225.91 | 1467504555 - THE METHODIST HOSPITALS, INC | 350868133 - METHODIST HOSPITALS INC | IN | General Acute Care Hospital (282N00000X) |
United | 200 | $25399.41 | 1184137093 - CARLSBAD MEDICAL CENTER LLC, CARLSBAD MEDICAL CENTER | 621762526 - (NM) CARLSBAD MEDICAL CENTER LLC | NM | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 200 | $13989.59 | 1588976260 - VHS SINAI-GRACE HOSPITAL INC, SINAI-GRACE HOSPITAL | 272844632 | MI | Psychiatric Hospital Unit (273R00000X) |
United | 200 | $22142.25 | 1972541837 - LAKEWOOD HOSPITAL ASSOCIATION, LAKEWOOD HOSPITAL | 340714585 - THE CLEVELAND CLINIC FOUNDATION | OH | Rehabilitation Hospital Unit (273Y00000X) |
United | 200 | $16117.45 | 1205985140 - THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC., THEDA CLARK MEDICAL CENTER, INC. | 390830664 - (WI) THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC | WI | Rehabilitation Hospital Unit (273Y00000X) |
United | 200 | $17768.40 | 1396882205 - VANDERBILT UNIVERSITY MEDICAL CENTER | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 200 | $25658.32 | 1902804552 - THE CHAMBERSBURG HOSPITAL, WELLSPAN CHAMBERSBURG HOSPITAL | 230465970 - CHAMBERSBURG HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 200 | $10623.13 | 1871592113 - DUKE UNIVERSITY HEALTH SYSTEM, INC., DURHAM REGIONAL HOSPITAL | 562070036 - DUKE UNIVERSITY HEALTH SYSTEM INC | NC | General Acute Care Hospital (282N00000X) |
United | 200 | $26191.26 | 1467764555 - VANDERBILT MEDICAL CENTER | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Critical Access Hospital (282NC0060X) |
United | 200 | $9574.33 | 1477874337 - RCHP, NORTH ALABAMA MEDICAL CENTER | 272451336 | AL | General Acute Care Hospital (282N00000X) |
United | 200 | $2640.00 | 1902805245 - ALBERT EINSTEIN MEDICAL CENTER | 231396794 - ALBERT EINSTEIN HEALTHCARE NETWORK | PA | General Acute Care Hospital (282N00000X) |
United | 200 | $15230.33 | 1598786220 - MERCY MEDICAL CENTER-DYERSVILLE, MERCY MEDICAL CENTER-DYERSVILLE | 202552602 - (IA) MERCY MEDICAL CENTERDYERSVILLE | IA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 200 | $10057.20 | 1740893320 - THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO | 310537486 - (OH) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995 | OH | General Acute Care Hospital (282N00000X) |
United | 200 | $23905.08 | 1407866064 - TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 752678857 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | TX | General Acute Care Hospital (282N00000X) |
United | 200 | $14238.00 | 1174768071 - BETH ISRAEL MEDICAL CENTER, KINGS HIGHWAY DIVISION | 135564934 - (NY) BETH ISRAEL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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MS-DRG 200 vs. Other Diseases & Disorders of the Respiratory System Codes
The MS-DRG 200 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 200 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 |
|---|---|---|
| 199-APR-DRG | High | HYPERTENSION |
| 199-MS-DRG | High | Pneumothorax with MCC |
| 200-MS-DRG | High | Pneumothorax with CC |
| 201-APR-DRG | High | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 200 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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