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See a sample rate comparisonMS-DRG 742 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 NON-MALIGNANCY WITH 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 742 by major payers:
$19,837.36
$23,192.82
$27,750.62
$29,268.18
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MS-DRG 742
5 of 25 sample ratesHigher to lower in this preview
Premier Healthcare Investments, Flint River Hospital
Flint River Hospital
$56,388.30Published rateTexas Health Harris Methodist Hospital Azle
$39,999.41Published rateLakeview Medical Center, LLC, Lakeview Regional Medical Center
$31,634.78Published rateGenesis Health System, Genesis Medical Center - Silvis
Genesis Health System
$18,335.58Published rateCr Emergency Room, LLC, Baylor Scott & White Emergency Hospital Colleyville
$5,185.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 742 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 742 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 742 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 |
|---|---|---|
| 741-MS-DRG | High | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC |
| 742-MS-DRG | High | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC |
| 743-MS-DRG | High | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/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 742. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 742 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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