MS-DRG 203 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 203 by major payers:
$8,191.45
$9,795.95
$11,088.20
$11,446.41
| 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 203 | ||||||
United | 203 | $13228.42 | 1811926132 - COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC, ASCENSION COLUMBIA ST MARY'S HOSPITAL MILWAUKEE | 390806315 - COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC | WI | Psychiatric Hospital Unit (273R00000X) |
United | 203 | $10181.50 | 1174512792 - TUCSON MEDICAL CENTER | 860137567 - (AZ) TUCSON MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 203 | $5185.00 | 1407344880 - CR EMERGENCY ROOM LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL ROCKWALL | 262978009 | TX | General Acute Care Hospital (282N00000X) |
United | 203 | $6034.00 | 1245227180 - ST FRANCIS MEDICAL CENTER | 850737566 | CA | General Acute Care Hospital (282N00000X) |
United | 203 | $5411.00 | 1245221050 - UNIVERSAL HEALTH SERVICES OF RANCHO SPRINGS INC, SOUTHWEST HEALTHCARE - INLAND VALLEY HOSPITAL | 233059262 | CA | General Acute Care Hospital (282N00000X) |
United | 203 | $15726.21 | 1679587679 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, NORTH CENTRAL BRONX HOSPITAL | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 203 | $13128.82 | 1487226106 - STEWARD NSMC, INC., PSYCH | 995054044 | FL | Psychiatric Hospital (283Q00000X) |
United | 203 | $14521.32 | 1700910189 - DIGNITY COMMUNITY CARE, CHANDLER REGIONAL MEDICAL CENTER | 721561132 | AZ | General Acute Care Hospital (282N00000X) |
United | 203 | $20480.03 | 1316933609 - PHYSICIANS MEDICAL CENTER, LLC, TEXAS HEALTH CENTER FOR DIAGNOSTICS AND SURGERY PLANO | 481281376 - (TX) PHYSICIANS MEDICAL CENTER, LLC DBA TEXAS HEALTH CENTER FOR DIAGNOSTICS | TX | General Acute Care Hospital (282N00000X) |
United | 203 | $4958.00 | 1902280050 - JOHNSTON MEMORIAL HOSPITAL, INC, JOHNSTON MEMORIAL HOSPITAL REHABILITATION | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 203 | $19642.02 | 1033681630 - SPARTANBURG MEDICAL CENTER | 576000934 | SC | Psychiatric Hospital Unit (273R00000X) |
United | 203 | $9620.04 | 1467129700 - VHS SAN ANTONIO PARTNERS, LLC, NORTHEAST BAPTIST HOSPITAL | 760714523 | TX | General Acute Care Hospital (282N00000X) |
United | 203 | $8443.00 | 1043204316 - THE MERCY HOSPITAL INC, MERCY MEDICAL CENTER | 43398280 - (MA) THE MERCY HOSPITAL INC | MA | General Acute Care Hospital (282N00000X) |
United | 203 | $6621.00 | 1699738088 - JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL, SCHNECK MEDICAL CENTER | 351163135 - JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL | IN | General Acute Care Hospital (282N00000X) |
United | 203 | $11712.94 | 1417600909 - COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE INC | 390806315 - COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC | WI | Psychiatric Hospital Unit (273R00000X) |
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 203 vs. Other Diseases & Disorders of the Respiratory System Codes
The MS-DRG 203 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 203 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 |
|---|---|---|
| 202-APR-DRG | Moderate | Open Craniotomy For Trauma |
| 202-MS-DRG | High | Bronchitis and Asthma with CC/MCC |
| 203-MS-DRG | High | Bronchitis and Asthma without CC/MCC |
| 204-APR-DRG | High | SYNCOPE & COLLAPSE |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 203. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 203 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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