MS-DRG 735 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 Female Reproductive System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 735 by major payers:
$16,812.26
$16,416.17
$19,611.34
$20,104.96
| 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 735 | ||||||
United | 735 | $15220.59 | 1245878990 - HUNTSVILLE COMMUNITY HOSPITAL, INC. | 843654542 - (TX) HUNTSVILLE COMMUNITY HOSPITAL INC | TX | General Acute Care Hospital (282N00000X) |
United | 735 | $18473.61 | 1184655581 - UNIVERSITY OF CALIFORNIA IRVINE, UCI HEALTH LAKEWOOD | 752919841 - (CA) LAKEWOOD REGIONAL MEDICAL CENTER INC | CA | General Acute Care Hospital (282N00000X) |
United | 735 | $35813.00 | 1194171371 - SUTTER BAY HOSPITALS, ALTA BATES SUMMIT MEDICAL CENTER - SUMMIT CAMPUS | 940562680 - (CA) SUTTER BAY HOSPITALS | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 735 | $23154.03 | 1164029658 - PENN STATE HEALTH HAMPDEN MEDICAL CENTER | 851608328 - (PA) PENN STATE HEALTH HAMPDEN MEDICAL CENTER | PA | General Acute Care Hospital (282N00000X) |
United | 735 | $24441.88 | 1063447167 - FORT HAMILTON HOSPITAL, THE FORT HAMILTON HOSPITAL | 310536662 - (OH) FORT HAMILTON HOSPITAL | OH | Psychiatric Hospital Unit (273R00000X) |
United | 735 | $12969.30 | 1356320873 - EAST TEXAS MEDICAL CENTER ATHENS | 823934511 | TX | General Acute Care Hospital (282N00000X) |
United | 735 | $9856.87 | 1093336026 - MAGNOLIA REGIONAL HEALTH SYSTEM INC | 850512754 - (AR) MAGNOLIA REGIONAL HEALTH SYSTEM INC | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 735 | $12267.66 | 1750788238 - HOKE HEALTHCARE LLC, CAPE FEAR VALLEY HOKE HOSPITAL | 272763125 - (NC) HOKE HEALTHCARE LLC | NC | General Acute Care Hospital (282N00000X) |
United | 735 | $19753.78 | 1750381281 - LAWRENCE GENERAL HOSPITAL | 42103586 - LAWRENCE GENERAL HOSPITAL | MA | General Acute Care Hospital (282N00000X) |
United | 735 | $7545.22 | 1568695781 - HEARTLAND LONG TERM ACUTE CARE HOSPITAL, LONG TERM ACUTE CARE HOSPITAL, MOSAIC LIFE CARE AT ST. JOSEPH | 261972987 - (MO) HEARTLAND LONG TERM ACUTE CARE HOSPITAL | MO | Long Term Care Hospital (282E00000X) |
United | 735 | $19820.56 | 1063406684 - SAINT JOSEPH'S HOSPITAL, INC. | 580568702 - (GA) SAINT JOSEPHS HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 735 | $34706.89 | 1104847888 - SOUND SHORE MEDICAL CENTER OF WESTCHESTER | 462931956 - (NY) MONTEFIORE NEW ROCHELLE HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 735 | $11302.73 | 1033185293 - TULSA SPINE & SPECIALTY HOSPITAL, TULSA SPINE HOSPITAL | 731600601 - (OK) TULSA SPINE AND SPECIALTY HOSPITAL | OK | General Acute Care Hospital (282N00000X) |
United | 735 | $1518.00 | 1902901200 - MENA HOSPITAL COMMISSION, MENA REGIONAL HEALTH SYSTEM REHAB UNIT | 710708660 - (AR) MENA HOSPITAL COMMISSION | AR | Rehabilitation Hospital Unit (273Y00000X) |
United | 735 | $39824.83 | 1407877137 - STATEN ISLAND UNIVERSITY HOSPITAL | 112868878 - (NY) STATEN ISLAND UNIVERSITY HOSPITAL | NY | 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 735 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 735 code is part of the Diseases & Disorders of the Female Reproductive 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 735 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 |
|---|---|---|
| 734-APR-DRG | Moderate | Eye Procedures Except Orbit |
| 734-MS-DRG | High | Pelvic Eversication, Radical Hysterectomy and Radical Vulvectomy with CC/MCC |
| 735-MS-DRG | High | Pelvic Eversication, Radical Hysterectomy and Radical Vulvectomy without CC/MCC |
| 736-MS-DRG | High | Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with 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 735. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 735 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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