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See a sample rate comparisonMS-DRG 738 Fee Schedule
Last Verified: October 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 AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC
| 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 738 by major payers:
$17,994.90
$20,260.18
$23,686.89
$24,714.07
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MS-DRG 738
5 of 25 sample ratesHigher to lower in this preview
Prisma Health-Midlands
$49,543.17Published rateCatholic Health Initiatives Colorado, St. Mary-Corwin Hospital
Catholic Health Initiatives Colorado
$27,269.31Published rateSt. Luke'S Hospital Of Duluth, Aspirus St Lukes Superior Surgery Center
St Lukes Hospital Of Duluth
$20,242.80Published rateSt Joseph Health Services Of Ri, Hospitalist Group
$14,048.87Published rateBrooklyn Hospital Center, No
The Brooklyn Hospital Center
$6,143.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 738 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 738 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 738 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 |
|---|---|---|
| 737-APR-DRG | Moderate | Orbit And Eye Procedures |
| 737-MS-DRG | High | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC |
| 738-MS-DRG | High | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC |
| 739-MS-DRG | High | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-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 738. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 738 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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