MS-DRG 208 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 208 by major payers:
$31,532.85
$32,645.43
$42,103.99
$42,948.02
| 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 208 | ||||||
United | 208 | $8620.00 | 1134129851 - BAYLOR UNIVERSITY MEDICAL CENTER | 751837454 - (TX) BAYLOR UNIVERSITY MEDICAL CENTER | TX | Psychiatric Hospital Unit (273R00000X) |
United | 208 | $33801.30 | 1538220611 - ST. ALEXIUS MEDICAL CENTER, CHI ST. ALEXIUS HEALTH | 450226711 - ST ALEXIUS MEDICAL CENTER | ND | Psychiatric Hospital Unit (273R00000X) |
United | 208 | $48751.23 | 1457479552 - WHEATON FRANCISCAN HEALTHCARE | 350868157 - SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS INC | WI | General Acute Care Hospital (282N00000X) |
United | 208 | $52591.60 | 1861943409 - THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC., THEDA CLARK MEDICAL CENTER INC. | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | General Acute Care Hospital (282N00000X) |
United | 208 | $2000.00 | 1053894022 - HMH HOSPITALS CORPORATION | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | Psychiatric Hospital Unit (273R00000X) |
United | 208 | $15254.79 | 1629003470 - IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME | 370673512 - IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME | IL | Rural Acute Care Hospital (282NR1301X) |
United | 208 | $7587.00 | 1124143557 - APHMFP | 461175423 - LANDMARK MEDICAL CENTER | RI | General Acute Care Hospital (282N00000X) |
United | 208 | $21134.92 | 1568417491 - CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY, CORYELL MEMORIAL HEALTHCARE SYSTEM | 741857100 | TX | General Acute Care Hospital (282N00000X) |
United | 208 | $28373.13 | 1447747316 - ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE | 371208459 - (IL) ST JOSEPHS HOSP OF THE HOSP SISTERS OF THE 3RD ORDER OF ST FRANCIS | IL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 208 | $25930.80 | 1255346961 - ST. JOSEPH MERCY PORT HURTON | 472361878 | MI | General Acute Care Hospital (282N00000X) |
United | 208 | $49615.41 | 1255377149 - OHIOHEALTH CORPORATION, GRANT MEDICAL CENTER | 314394942 - OHIOHEALTH CORPORATION GRANT RIVERSIDE DOCTORS DUBLIN MET | OH | General Acute Care Hospital (282N00000X) |
United | 208 | $21357.67 | 1740287531 - GUTHRIE CORTLAND MEDICAL CENTER | 150532079 - (NY) GUTHRIE CORTLAND MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 208 | $48686.82 | 1932123452 - SANFORD MEDICAL CENTER, SANFORD USD MEDICAL CENTER - IP REHAB UNIT | 460227855 - SANFORD | SD | Rehabilitation Hospital Unit (273Y00000X) |
United | 208 | $12306.96 | 1205075181 - LTAC OF LOUISIANA, LLC, LTAC OF LOUISIANA | 264203041 - (LA) LTAC OF LOUISIANA LLC | LA | Long Term Care Hospital (282E00000X) |
United | 208 | $50386.78 | 1174576896 - PHYSICIAN MANAGEMENT, LTD. | 210634484 - (NJ) INSPIRA MEDICAL CENTERS INC | 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 208 vs. Other Diseases & Disorders of the Respiratory System Codes
The MS-DRG 208 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 208 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 |
|---|---|---|
| 207-APR-DRG | High | OTHER CIRCULATORY SYSTEM DIAGNOSES |
| 207-MS-DRG | High | Respiratory System Diagnosis with Ventilator Support >96 Hours |
| 208-MS-DRG | High | Respiratory System Diagnosis with Ventilator Support <=96 Hours |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 208. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 208 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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