MS-DRG 745 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 745 by major payers:
$12,588.20
$14,082.44
$16,306.20
$16,929.02
| 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 745 | ||||||
United | 745 | $11523.34 | 1164821559 - NATCHEZ HOSPITAL COMPANY LLC, MERIT HEALTH NATCHEZ | 371756496 | MS | General Acute Care Hospital (282N00000X) |
United | 745 | $14572.66 | 1063442770 - HIALEAH HOSPITAL INC., HIALEAH HOSPITAL | 995053647 | FL | General Acute Care Hospital (282N00000X) |
United | 745 | $17864.31 | 1801857172 - NASSAU HEALTH CARE CORPORATION, NASSAU UNIVERSITY MEDICAL CENTER | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 745 | $20425.55 | 1548698723 - ES REHABILITATION LLC, EMORY REHABILITATION HOSPITAL | 463808276 | GA | Rehabilitation Hospital (283X00000X) |
United | 745 | $14319.53 | 1619178720 - THOREK HOSPITAL AND MEDICAL CENTER OUTPATIENT PHARMACY | 366000085 - (IL) THOREK MEMORIAL HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 745 | $29460.94 | 1679133532 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 745 | $10761.41 | 1477602860 - MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION, MORRISTOWN HAMBLEN HEALTHCARE SYSTEM | 620545814 - (TN) MORRISTOWN HAMBLEN HOSP | TN | Psychiatric Hospital Unit (273R00000X) |
United | 745 | $20158.56 | 1821544925 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CANCER INST-SENECA | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 745 | $17004.22 | 1932107802 - UNION HOSPITAL INC, UNION HOSPITAL MEDICAL REHABILITATION UNIT | 350876396 - UNION HOSPITAL INC | IN | Rehabilitation Hospital Unit (273Y00000X) |
United | 745 | $27175.65 | 1962556274 - BANNER DESERT MEDICAL CENTER | 900054201 - (AZ) BANNER DESERT MEDICAL CENTER | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 745 | $18852.22 | 1902905102 - UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM | 561118388 | NC | General Acute Care Hospital (282N00000X) |
United | 745 | $22992.83 | 1073664116 - PRESBYTERIAN HOSPITAL OF PLANO | 752770738 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO | TX | Psychiatric Hospital Unit (273R00000X) |
United | 745 | $10151.82 | 1871698472 - DOCTORS HOSPITAL, LLC, ASCENTIST HOSPITAL | 431940931 - (KS) DOCTORS HOSPITAL, LLC | KS | General Acute Care Hospital (282N00000X) |
United | 745 | $17924.77 | 1801284617 - BANNER | 901074558 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 745 | $17008.60 | 1801299375 - OCHSNER MEDICAL CENTER, OCHSNER MEDICAL COMPLEX - RIVER PARISHES | 205432782 | LA | Critical Access Hospital (282NC0060X) |
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 745 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 745 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 745 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 |
|---|---|---|
| 744-MS-DRG | High | D&C, Conization, Laparoscopy and Tubal Interruption with CC/MCC |
| 745-MS-DRG | High | D&C, Conization, Laparoscopy and Tubal Interruption without CC/MCC |
| 746-MS-DRG | High | Vagina, Cervix and Vulva Procedures 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 745. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 745 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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