MS-DRG 749 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 749 by major payers:

$29,333.13

$33,995.21

$40,526.36

$41,822.89
| 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 749 | ||||||
United | 749 | $28442.49 | 1699288449 - OSF HEALTHCARE SYSTEM, OSF SACRED HEART MEDICAL CENTER | 370813229 - (IL) OSF HEALTHCARE SYSTEM | IL | General Acute Care Hospital (282N00000X) |
United | 749 | $27374.44 | 1265498299 - LEHIGH VALLEY HOSPITAL, SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET | 231352202 - (PA) LEHIGH VALLEY HOSPITAL - SCHUYKILL | PA | Substance Use Disorder Rehabilitation Hospital Unit (276400000X) |
United | 749 | $44189.98 | 1073621991 - COLUMBIA MEMORIAL HOSPITAL | 141338373 - COLUMBIA MEMORIAL HOSPITAL | NY | Psychiatric Hospital Unit (273R00000X) |
United | 749 | $27195.81 | 1679652192 - AHS HILLCREST MEDICAL CENTER LLC, HILLCREST MEDICAL CENTER | 770633896 - (OK) AHS HILLCREST MEDICAL CENTER LLC | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 749 | $31586.09 | 1710051941 - FRANCISCAN HEALTH MICHIGAN CITY, FRANCISCAN ST. ANTHONY HEALTH - MICHIGAN CITY | 350876394 - (IN) FRANCISCAN HEALTH MICHIGAN CITY | IN | General Acute Care Hospital (282N00000X) |
United | 749 | $34462.98 | 1801827670 - BROOKWOOD HEALTH SERVICES, INC., BROOKWOOD MEDICAL CENTER | 474757851 | AL | Rehabilitation Hospital Unit (273Y00000X) |
United | 749 | $60744.08 | 1679678486 - MEMORIAL HOSPITAL FLAGLER INC, ADVENTHEALTH PALM COAST | 592951990 - MEMORIAL HOSPITAL FLAGLER INC | FL | General Acute Care Hospital (282N00000X) |
United | 749 | $42745.82 | 1841453644 - CITIZENS BAPTIST MEDICAL CENTER | 474802869 | AL | Rural Acute Care Hospital (282NR1301X) |
United | 749 | $42745.82 | 1841453644 - CITIZENS BAPTIST MEDICAL CENTER | 474802869 | AL | Rural Acute Care Hospital (282NR1301X) |
United | 749 | $27442.10 | 1295027134 - STEWARD ST. ANNE'S HOSPITAL CORPORATION | 272473637 | MA | General Acute Care Hospital (282N00000X) |
United | 749 | $46909.01 | 1235162645 - NORCAL HEALTHCONNECT LLC, PETALUMA VALLEY HOSPITAL | 852390012 | CA | General Acute Care Hospital (282N00000X) |
United | 749 | $38145.62 | 1265063010 - HONORHEALTH, HONORHEALTH SONORAN CROSSING MEDICAL CENTER | 860181654 - HONORHEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 749 | $30752.57 | 1831170232 - GOTTLIEB MEMORIAL HOSPITAL | 362379649 - (IL) GOTTLIEB MEMORIAL HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 749 | $86629.00 | 1528075108 - FRANKLIN HOSPITAL | 112241326 - LONG ISLAND JEWISH MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 749 | $37889.33 | 1639182926 - THEDACARE MEDICAL CENTER, SWINGBED | 390869788 - (WI) THEDACARE MEDICAL CENTER NEW LONDON INC | WI | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
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 749 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 749 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 749 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 |
|---|---|---|
| 748-MS-DRG | High | Female Reproductive System Reconstructive Procedures |
| 749-MS-DRG | High | Other Female Reproductive System O.R. Procedures with CC/MCC |
| 750-APR-DRG | High | SCHIZOPHRENIA |
| 750-MS-DRG | High | Other Female Reproductive System O.R. 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 749. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 749 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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