MS-DRG 736 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 736 by major payers:
$44,763.80
$51,547.98
$60,927.88
$63,241.40
| 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 736 | ||||||
United | 736 | $31933.93 | 1356398127 - ANDREWS COUNTY HOSPITAL DISTRICT, PERMIAN REG MED CTR SWING BED | 751997880 - (TX) ANDREWS COUNTY HOSPITAL DISTRICT | TX | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 736 | $103484.07 | 1043279565 - ST. FRANCIS HOSPITAL | 112050523 - (NY) ST FRANCIS HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 736 | $115765.43 | 1003883158 - TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON, TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON | 432008974 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON | TX | General Acute Care Hospital (282N00000X) |
United | 736 | $57149.60 | 1245275254 - SAINT THOMAS HICKMAN HOSPITAL, ASCENSION SAINT THOMAS HICKMAN | 581737573 - SAINT THOMAS HICKMAN HOSPITAL | TN | Critical Access Hospital (282NC0060X) |
United | 736 | $61777.01 | 1003832098 - NASSAU HEALTH CARE CORPORATION, NUMC -DEPARTMENT OF PM&R, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 736 | $4796.00 | 1235510090 - HERITAGE PARK SURGICAL HOSPITAL LLC, BAYLOR SCOTT & WHITE SURGICAL HOSPITAL AT SHERMAN | 611762781 | TX | General Acute Care Hospital (282N00000X) |
United | 736 | $85542.85 | 1346291309 - THE PRESBYTERIAN HOSPITAL, NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | 560554230 - PRESBYTERIAN HOSPITAL | NC | General Acute Care Hospital (282N00000X) |
United | 736 | $93087.99 | 1891870994 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 736 | $27328.00 | 1477670966 - RUSH MEDICAL FOUNDATION, OCHSNER WATKINS HOSPITAL SWING BED | 640345119 - (MS) RUSH MEDICAL FOUNDATION | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 736 | $89789.09 | 1891367629 - STEWARD NSMC, INC., STEWARD FLORIDA MEDICAL CENTER A CAMPUS OF NORTH SHORE | 862695690 | FL | General Acute Care Hospital (282N00000X) |
United | 736 | $117116.03 | 1821484262 - HDMC HOLDINGS, LLC, HI-DESERT MEDICAL CENTER | 473550779 | CA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 736 | $90426.97 | 1245311695 - TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | 751047527 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 736 | $91253.88 | 1598724924 - MERCY MEDICAL CENTER | 111635088 - (NY) MERCY MEDICAL CENTER | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 736 | $61460.51 | 1902822992 - NASSAU HEALTHCARE CORPORATION, NASSAU DEPARTMENT OF PSYCHIATRY AND PSYCHOLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 736 | $76854.07 | 1568429454 - COMMUNITY MERCY HEALTH PARTNERS, MERCY HEALTH - URBANA HOSPITAL | 310785684 - COMMUNITY MERCY HEALTH PARTNERS | OH | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
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 736 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 736 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 736 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 |
|---|---|---|
| 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 |
| 737-APR-DRG | Moderate | Orbit And Eye Procedures |
| 737-MS-DRG | High | Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 736. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 736 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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