MS-DRG 746 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 746 by major payers:
$18,298.86
$22,597.23
$26,195.51
$27,191.45
| 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 746 | ||||||
United | 746 | $32401.83 | 1265833487 - VANDERBILT UNIVERSITY MEDICAL CENTER | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 746 | $30836.50 | 1538345251 - MULTICARE HEALTH SYSTEM, MULTICARE VALLEY HOSPITAL | 911352172 - MULTICARE HEALTH SYSTEM | WA | General Acute Care Hospital (282N00000X) |
United | 746 | $31283.19 | 1184699118 - PALOS COMMUNITY HOSPITAL | 362169179 - (IL) NORTHWESTERN MEMORIAL HEALTHCARE | IL | Psychiatric Hospital Unit (273R00000X) |
United | 746 | $19389.28 | 1144236571 - INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS BASS BAPTIST HEALTH CENTER | 730612674 | OK | General Acute Care Hospital (282N00000X) |
United | 746 | $29628.69 | 1457517013 - SUNY STONYBROOK UNIVERSITY HOSPITAL | 113243405 | NY | General Acute Care Hospital (282N00000X) |
United | 746 | $19410.28 | 1659559573 - ST LUKES COMMUNITY DEVELOPMENT CORPORATION, ST LUKES SUGAR LAND HOSPITAL | 261947374 - (TX) ST LUKES COMMUNITY DEVELOPMENT CORPORATION-SUGAR LAND | TX | General Acute Care Hospital (282N00000X) |
United | 746 | $17741.51 | 1144695081 - HH HEALTH SYSTEM, ATHENS LIMESTONE HOSPITAL | 475531420 | AL | General Acute Care Hospital (282N00000X) |
United | 746 | $25426.43 | 1871588772 - FLAGET HEALTHCARE, INC, FLAGET MEMORIAL HOSPITAL | 611345363 - (KY) FLAGET HEALTHCARE INC | KY | General Acute Care Hospital (282N00000X) |
United | 746 | $26637.21 | 1801827670 - BROOKWOOD HEALTH SERVICES, INC., BROOKWOOD MEDICAL CENTER | 474757851 | AL | Rehabilitation Hospital Unit (273Y00000X) |
United | 746 | $19637.86 | 1841844735 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL KELLY | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 746 | $13599.59 | 1235109778 - COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL SOUTH | 351088640 - COMMUNITY HOSPITALS OF INDIANA INC | IN | General Acute Care Hospital (282N00000X) |
United | 746 | $27414.22 | 1083286801 - STEWARD CGH, INC. | 862608394 | FL | General Acute Care Hospital (282N00000X) |
United | 746 | $16350.00 | 1093736001 - PALISADES MEDICAL CENTER INC, PALISADES MEDICAL CENTER | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 746 | $21001.16 | 1477101376 - SSM SELECT REHAB ST. LOUIS, LLC, SSM HEALTH PHYSICAL THERAPY | 263694972 | MO | Rehabilitation Hospital (283X00000X) |
United | 746 | $16095.58 | 1275703910 - UCHEALTH PIKES PEAK REGIONAL HOSPITAL | 824191576 - (CO) UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | 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 746 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 746 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 746 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 |
|---|---|---|
| 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 |
| 747-MS-DRG | High | Vagina, Cervix and Vulva Procedures 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 746. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 746 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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