MS-DRG 743 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 743 by major payers:
$13,490.19
$15,936.67
$18,843.86
$19,781.45
| 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 743 | ||||||
United | 743 | $25360.65 | 1891870994 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 743 | $30518.90 | 1548716665 - UPSTATE AFFILIATE ORGANIZATION, GHS CANCER INST-ANDREWS | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 743 | $14023.00 | 1245284223 - METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P., METHODIST HOSPITAL | 742730328 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 743 | $18518.72 | 1164877049 - PROSPECT DCMH, LLC, INPATIENT REHAB | 811520273 | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 743 | $8869.54 | 1184670549 - ENDEAVOR HEALTH CLINICAL OPERATIONS, SKOKIE HOSPITAL | 362167060 - (IL) NORTHSHORE UNIVERSITY HEALTHSYSTEM | IL | General Acute Care Hospital (282N00000X) |
United | 743 | $18034.24 | 1467702514 - EMANUEL MEDICAL CENTER, INC., EMANUEL FAMILY PRACTICE | 752918774 | CA | General Acute Care Hospital (282N00000X) |
United | 743 | $10345.00 | 1447597240 - BAYLOR UNIVERSITY MEDICAL CENTER | 751837454 - (TX) BAYLOR UNIVERSITY MEDICAL CENTER | TX | General Acute Care Hospital (282N00000X) |
United | 743 | $20377.90 | 1821099474 - DEKALB MEDICAL PSYCH UNIT | 581966795 - (GA) EMORY UNIVERSITY | GA | Psychiatric Hospital Unit (273R00000X) |
United | 743 | $20266.00 | 1053556159 - STATEN ISLAND UNIVERSITY HOSPITAL | 112868878 - (NY) STATEN ISLAND UNIVERSITY HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 743 | $38497.51 | 1164505996 - YALE NEW HAVEN HOSPITAL, YALE PSYCHIATRIC HOSPITAL | 60646652 - YALE NEW HAVEN HOSPITAL | CT | Psychiatric Hospital (283Q00000X) |
United | 743 | $26187.99 | 1700495389 - NAPLES HMA LLC, PHYSICIANS REGIONAL MEDICAL CENTER | 204401957 | FL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 743 | $9670.54 | 1750353462 - WAYNE MEMORIAL HOSPITAL INC | 561484844 - (NC) WAYNE MEMORIAL HOSPITAL INC | NC | General Acute Care Hospital (282N00000X) |
United | 743 | $8230.26 | 1477886141 - ST MARTIN HOSPITAL, INC., ST MARTIN HOSPITAL | 264626264 - (LA) ST MARTIN HOSPITAL INC | LA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 743 | $14693.37 | 1902817844 - CH ALLIED SERVICES, INC., BOONE HOSPITAL CENTER | 431279063 - CH ALLIED SERVICES INC | MO | General Acute Care Hospital (282N00000X) |
United | 743 | $32897.12 | 1396725677 - MARIN GENERAL HOSPITAL | 942823538 - (CA) MARIN GENERAL HOSPITAL | CA | 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 743 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 743 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 743 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 |
|---|---|---|
| 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 |
| 744-MS-DRG | High | D&C, Conization, Laparoscopy and Tubal Interruption with 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 743. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 743 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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