Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonAPR-DRG 512 Fee Schedule
Last Verified: September 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.
UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG
| Key Fact | Detail |
|---|---|
| Common Place of Service | 21 - Inpatient Hospital None |
| Common Modifiers | None |
| Complexity Level | High |
National average reimbursement for APR-DRG 512 by major payers:
$45,519.02
$N/A
$N/A
$N/A
Compare published rates across providers.
Choose a payer to see a sample of rates for APR-DRG 512.
APR-DRG 512
No sample rates available for this payer and code. Search provider rates to explore coverage.
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalAPR-DRG 512 vs. Other Codes
The APR-DRG 512 code is part of the null 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 APR-DRG 512 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 |
|---|---|---|
| 511-APR-DRG | High | UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY |
| 511-MS-DRG | High | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC |
| 512-APR-DRG | High | UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG |
| 513-APR-DRG | High | UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including APR-DRG 512. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 512 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like APR-DRG 512) and we'll show you how you compare in 15 minutes or less.