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See a sample rate comparisonMS-DRG 749 Fee Schedule
Last Verified: October 2026
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.
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
| 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
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MS-DRG 749
5 of 25 sample ratesHigher to lower in this preview
Franklin Hospital
Long Island Jewish Medical Center
$86,629.00Published rateBartow Regional Medical Center, Inc.
Bartow Regional Medical Center Inc
$48,919.85Published rateHonorhealth, Honorhealth Sonoran Crossing Medical Center
Honorhealth
$38,145.62Published rateGottlieb Memorial Hospital
$30,752.57Published rateSimi Valley Hospital And Health Care Services
$9,778.00Published rate
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See a sample payer proposalMS-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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