MS-DRG 739 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 739 by major payers:
$40,132.79
$49,933.61
$60,765.09
$63,583.21
| 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 739 | ||||||
United | 739 | $47579.71 | 1508901448 - ST. JOSEPH HEALTH SERVICES OF RI, PULMONARY GROUP | 464661337 | RI | General Acute Care Hospital (282N00000X) |
United | 739 | $64602.05 | 1750484721 - LOYOLA UNIVERSITY MEDICAL CENTER, FOSTER G. MCGAW HOSPITAL | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 739 | $24088.38 | 1043389034 - THC, KINDRED HOSPITAL (HOUSTON NW) | 752504884 - (TX) THC | TX | Long Term Care Hospital (282E00000X) |
United | 739 | $47192.71 | 1801853767 - SINAI HOSPITAL OF GREATER DETROIT, SINAI GRACE HOSPITAL | 272844632 | MI | Rehabilitation Hospital Unit (273Y00000X) |
United | 739 | $132890.40 | 1801992631 - NYU LANGONE HOSPITALS | 133971298 - NYU LANGONE HOSPITALS | NY | General Acute Care Hospital (282N00000X) |
United | 739 | $39741.32 | 1124272547 - ADVOCATE CONDELL MEDICAL CENTER | 262525968 - (IL) ADVOCATE HEALTH CARE NETWORK | IL | General Acute Care Hospital (282N00000X) |
United | 739 | $72746.96 | 1902261860 - VANDERBILT UNIVERSITY MEDICAL CENTER | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Children's Hospital (282NC2000X) |
United | 739 | $106397.50 | 1679587679 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, NORTH CENTRAL BRONX HOSPITAL | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 739 | $51498.64 | 1144312430 - PRINCETON BAPTIST MEDICAL CENTER, PRINCETON BAPTIST MEDICAL CENTER | 474775351 | AL | General Acute Care Hospital (282N00000X) |
United | 739 | $5185.00 | 1548236524 - NORTH CENTRAL SURGICAL CENTER L.L.P. | 201508140 - (TX) NORTH CENTRAL SURGICAL CENTER LLP | TX | General Acute Care Hospital (282N00000X) |
United | 739 | $28733.00 | 1760664981 - CITY OF HOPE NATIONAL MEDICAL CENTER | 951683875 - CITY OF HOPE NATIONAL MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 739 | $20157.00 | 1285671313 - HCA-HEALTHONE LLC, THE MEDICAL CENTER OF AURORA | 841321373 | CO | General Acute Care Hospital (282N00000X) |
United | 739 | $64973.30 | 1093755340 - ENDEAVOR HEALTH CLINICAL OPERATIONS, EVANSTON HOSPITAL - PSYCH UNIT | 362167060 - (IL) NORTHSHORE UNIVERSITY HEALTHSYSTEM | IL | Psychiatric Hospital Unit (273R00000X) |
United | 739 | $14436.00 | 1902235898 - HCA HEALTH SERVICES OF VIRGINIA, INC., HENRICO DOCTORS' HOSPITAL | 621113733 | VA | Psychiatric Hospital Unit (273R00000X) |
United | 739 | $91961.60 | 1659360709 - BON SECOURS COMMUNITY HOSPITAL | 141347717 - BON SECOURS CHARITY HEALTH SYSTEM INC | 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 739 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 739 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 739 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 |
|---|---|---|
| 738-APR-DRG | Moderate | Orbit And Eye Procedures |
| 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 |
| 740-APR-DRG | High | MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 739. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 739 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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