MS-DRG 201 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 201 by major payers:
$8,759.73
$9,673.13
$10,831.18
$11,156.84
| 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 201 | ||||||
United | 201 | $6319.33 | 1689629941 - METHODIST HOSPITALS OF DALLAS, METHODIST MANSFIELD MEDICAL CENTER | 750800661 - METHODIST HOSPITALS OF DALLAS | TX | General Acute Care Hospital (282N00000X) |
United | 201 | $9479.40 | 1730121641 - CLARION HOSPITAL | 251010039 - (PA) CLARION HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 201 | $10640.92 | 1700267218 - SAINT THOMAS STONES RIVER HOSPITAL, LLC | 474063232 | TN | Psychiatric Hospital Unit (273R00000X) |
United | 201 | $13823.66 | 1184647620 - LEGACY MERIDIAN PARK HOSPITAL | 930618975 - LEGACY MERIDIAN PARK HOSPITAL | OR | General Acute Care Hospital (282N00000X) |
United | 201 | $6190.54 | 1770533994 - ST. VINCENT CLAY HOSPITAL, INC | 352112529 - (IN) ST VINCENT CLAY HOSPITAL INC | IN | Critical Access Hospital (282NC0060X) |
United | 201 | $1000.00 | 1386819290 - LAWRENCE MEMORIAL HEALTH FOUNDATION INC., LAWRENCE MEMORIAL HOSPITAL | 731547175 - (AR) LAWRENCE MEMORIAL HEALTH FOUNDATION | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 201 | $14069.00 | 1407291776 - PHELPS MEMORIAL HOSPITAL CENTER | 131725076 - (NY) PHELPS MEMORIAL HOSPITAL ASSOCIATION | NY | Rural Acute Care Hospital (282NR1301X) |
United | 201 | $12092.59 | 1326022732 - VHS ACQUISITION SUBSIDIARY NUMBER 1 INC, ABRAZO SCOTTSDALE CAMPUS | 621861138 - (AZ) VHS ACQUISITION SUBSIDIARY NUMBER 1 INC | AZ | General Acute Care Hospital (282N00000X) |
United | 201 | $4027.00 | 1780375592 - SOUTH ARKANSAS REGIONAL HOSPITAL LLC | 923616260 | AR | General Acute Care Hospital (282N00000X) |
United | 201 | $4949.72 | 1689650616 - MEMORIAL HOSPITAL OF POLK COUNTY, CHI ST. LUKE'S HEATH MEMORIAL LIVINGSTON | 760436439 - (TX) MEMORIAL MEDICAL CENTER LIVINGSTON | TX | Rural Acute Care Hospital (282NR1301X) |
United | 201 | $4401.60 | 1518130731 - TYRONE HOSPITAL | 231440116 - (PA) TYRONE HOSPITAL | PA | Critical Access Hospital (282NC0060X) |
United | 201 | $8043.77 | 1376840504 - HAMPTON REGIONAL MEDICAL CENTER | 571017988 - (SC) HAMPTON REGIONAL MEDICAL CENTER | SC | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 201 | $4306.00 | 1629171129 - ST. VINCENT'S EAST, ST. VINCENT'S EAST REHABILITATION CENTER | 630578923 - (AL) ST VINCENTS EAST | AL | Rehabilitation Hospital Unit (273Y00000X) |
United | 201 | $15036.40 | 1932427283 - INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS BASS BEHAVIORAL HEALTH CENTER | 730612674 | OK | Psychiatric Hospital Unit (273R00000X) |
United | 201 | $8814.00 | 1902901333 - CLARA MAASS MEDICAL CENTER | 221500556 | NJ | 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 201 vs. Other Diseases & Disorders of the Respiratory System Codes
The MS-DRG 201 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 201 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 |
|---|---|---|
| 200-APR-DRG | High | CARDIAC STRUCTURAL & VALVULAR DISORDERS |
| 200-MS-DRG | High | Pneumothorax with CC |
| 201-MS-DRG | High | Pneumothorax without CC/MCC |
| 202-APR-DRG | Moderate | Open Craniotomy For Trauma |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 201. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 201 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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