MS-DRG 818 Fee Schedule

Last Verified: February 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.

Other Antepartum Diagnoses with O.R. Procedures with CC

Key Fact	Detail
Service Type	• Pregnancy, Childbirth & the Puerperium
Common Place of Service	• 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital
Complexity Level	High

National average reimbursement for MS-DRG 818 by major payers:

$15,360.94

$17,310.59

$20,316.78

$20,581.13

Preview provider-level rates for...

For billing codeMS-DRG 818

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 818
United	818	$39561.69	1336245828 - CHILDREN'S HOSPITAL COLORADO	840166760 - CHILDRENS HOSPITAL COLORADO	CO	Children's Hospital (282NC2000X)
United	818	$23396.51	1174571129 - SAINT JOSEPH REGIONAL MEDICAL CENTER- PLYMOUTH CAMPUS INC	351142669 - SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH CAMPUS INC	IN	General Acute Care Hospital (282N00000X)
United	818	$9342.70	1003811290 - PROVIDENCE HOSPITAL, LLC, PROVIDENCE HEALTH	571098556 - (SC) MEDICAL UNIVERSITY HOSPITAL AUTHORITY	SC	General Acute Care Hospital (282N00000X)
United	818	$5507.20	1285635425 - HANOVER HOSPITAL	480734138 - (KS) HANOVER HOSPITAL	KS	Critical Access Hospital (282NC0060X)
United	818	$24135.83	1326022765 - VHS OF ARROWHEAD, INC, ABRAZO ARROWHEAD CAMPUS	621811285	AZ	General Acute Care Hospital (282N00000X)
United	818	$15538.42	1659798619 - CLAY COUNTY MEDICAL CORPORATION, CLAY COUNTY MEDICAL CENTER-HOSPITALIST	640668465 - (MS) CLAY COUNTY MEDICAL CORPORATION	MS	Hospitalist Physician (208M00000X)
United	818	$51957.51	1538657267 - PALMETTO HEALTH	582296052 - (SC) PRISMA HEALTH-MIDLANDS	SC	Hospitalist Physician (208M00000X)
United	818	$32792.48	1902352008 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CANCER INST-SPARTANBURG	811723202 - PRISMA HEALTH - UPSTATE	SC	General Acute Care Hospital (282N00000X)
United	818	$5631.14	1851505630 - HOSPITAL SERVICE DIST. NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LA	726014606	LA	Psychiatric Hospital Unit (273R00000X)
United	818	$21683.48	1730195017 - AMERICAN ONCOLOGIC HOSPITAL	231352156 - (PA) THE AMERICAN ONCOLOGIC HOSPITAL	PA	Special Hospital (284300000X)
United	818	$21037.01	1487633509 - VHS SAN ANTONIO PARTNERS LLC, BAPTIST HEALTH SYSTEM	760714523	TX	Psychiatric Hospital Unit (273R00000X)
United	818	$45733.01	1932280666 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, WESTCHESTER MEDICAL CENTER	133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO	NY	General Acute Care Hospital (282N00000X)
United	818	$32005.52	1184731507 - RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA, UVA HEALTH SCIENCES CENTER	546001796 - RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA	VA	Psychiatric Hospital Unit (273R00000X)
United	818	$35246.55	1619341716 - NYU LANGONE HOSPITALS	133971298 - NYU LANGONE HOSPITALS	NY	General Acute Care Hospital (282N00000X)
United	818	$5987.72	1760696546 - ST CHARLES PARISH HOSPITAL	726014606	LA	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 818 vs. Other Pregnancy, Childbirth & the Puerperium Codes

The MS-DRG 818 code is part of the Pregnancy, Childbirth & the Puerperium 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 818 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
817-APR-DRG	High	INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE
817-MS-DRG	High	Other Antepartum Diagnoses with O.R. Procedures with MCC
818-MS-DRG	High	Other Antepartum Diagnoses with O.R. Procedures with CC
819-MS-DRG	High	Other Antepartum Diagnoses with O.R. Procedures without CC/MCC

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 818. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 818 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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