MS-DRG 747 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 747 by major payers:
$11,266.68
$13,170.22
$15,056.90
$15,720.07
| 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 747 | ||||||
United | 747 | $24882.96 | 1407016793 - DOCTORS MEDICAL CENTER, DOCTORS BEHAVIORAL HEALTH | 752918774 | CA | Psychiatric Hospital (283Q00000X) |
United | 747 | $7588.08 | 1790782704 - SID PETERSON MEMORIAL HOSPITAL, PETERSON REGIONAL MEDICAL CENTER | 742557820 - (TX) SID PETERSON MEMORIAL HOSPITAL | TX | Rural Acute Care Hospital (282NR1301X) |
United | 747 | $25774.16 | 1285619254 - ST JOSEPH HOSPITAL OF ORANGE, PROVIDENCE ST. JOSEPH HOSPITAL | 951643359 - (CA) ST JOSEPH HOSPITAL OF ORANGE | CA | Psychiatric Hospital Unit (273R00000X) |
United | 747 | $5856.79 | 1215965249 - COVINGTON COUNTY HOSPITAL | 646001549 | MS | Critical Access Hospital (282NC0060X) |
United | 747 | $21014.40 | 1710139688 - GRADY HOSPITAL | 262037695 - GRADY MEMORIAL HOSPITAL CORPORATION | GA | General Acute Care Hospital (282N00000X) |
United | 747 | $14378.36 | 1669477089 - DALLAS COUNTY HOSPITAL | 426037739 | IA | Critical Access Hospital (282NC0060X) |
United | 747 | $15500.99 | 1528488897 - LOYOLA UNIVERSITY MEDICAL CENTER | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 747 | $22149.63 | 1982733655 - DIGNITY HEALTH, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER | 721561134 - (AZ) ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 747 | $24882.96 | 1407016793 - DOCTORS MEDICAL CENTER, DOCTORS BEHAVIORAL HEALTH | 752918774 | CA | Psychiatric Hospital (283Q00000X) |
United | 747 | $23885.66 | 1285293274 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 747 | $17092.23 | 1174571129 - SAINT JOSEPH REGIONAL MEDICAL CENTER- PLYMOUTH CAMPUS INC | 351142669 - SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH CAMPUS INC | IN | General Acute Care Hospital (282N00000X) |
United | 747 | $8790.01 | 1255370144 - RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B, RICHARDSON MEDICAL CENTER | 721179028 | LA | General Acute Care Hospital (282N00000X) |
United | 747 | $16900.34 | 1700026077 - STONY BROOK HOSPITAL | 113243405 | NY | General Acute Care Hospital (282N00000X) |
United | 747 | $7062.00 | 1669764353 - DUKE UNIVERSITY HOSPITAL | 562070036 - DUKE UNIVERSITY HEALTH SYSTEM INC | NC | General Acute Care Hospital (282N00000X) |
United | 747 | $8655.07 | 1245321181 - DLP RUTHERFORD REGIONAL HEALTH SYSTEM, LLC, RUTHERFORD REGIONAL HEALTH SYSTEM | 300811171 | NC | 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 747 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 747 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 747 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 |
|---|---|---|
| 746-MS-DRG | High | Vagina, Cervix and Vulva Procedures with CC/MCC |
| 747-MS-DRG | High | Vagina, Cervix and Vulva Procedures without CC/MCC |
| 748-MS-DRG | High | Female Reproductive System Reconstructive Procedures |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 747. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 747 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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