MS-DRG 754 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 754 by major payers:
$21,336.87
$23,120.62
$28,586.31
$28,999.04
| 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 754 | ||||||
United | 754 | $3744.00 | 1144215039 - HIGHLANDS HOSPITAL AND HEALTH CENTER, PENN HIGHLANDS CONNELLSVILLE | 251494705 - HIGHLANDS HOSPITAL AND HEALTH CENTER | PA | General Acute Care Hospital (282N00000X) |
United | 754 | $27331.28 | 1427360700 - VHS HARPER-HUTZEL HOSPITAL INC, HARPER UNIVERSITY HOSPITAL | 272844767 | MI | General Acute Care Hospital (282N00000X) |
United | 754 | $22440.75 | 1912978875 - MERCY HOSPITAL WALDRON | 710557895 - MERCY HOSPITAL WALDRON | AR | Critical Access Hospital (282NC0060X) |
United | 754 | $38943.03 | 1316982424 - MOUNT SINAI HOSPITAL QUEENS | 131624096 - MOUNT SINAI HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 754 | $4796.00 | 1992772008 - IRVING COPPELL SURGICAL HOSPITAL | 542086863 | TX | Special Hospital (284300000X) |
United | 754 | $36352.46 | 1841376092 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE PORTLAND MEDICAL CENTER | 930386906 | OR | Rehabilitation Hospital Unit (273Y00000X) |
United | 754 | $15404.37 | 1881691061 - GRAHAM HOSPITAL DISTRICT, GRAHAM REGIONAL MEDICAL CENTER | 463113489 | TX | Rural Acute Care Hospital (282NR1301X) |
United | 754 | $12990.00 | 1225133473 - MONMOUTH MEDICAL CENTER INC, MONMOUTH MEDICAL CENTER SOUTHERN CAMPUS | 223452412 | NJ | General Acute Care Hospital (282N00000X) |
United | 754 | $19330.56 | 1205880424 - HENDERSON MEMORIAL HOSPITAL | 824019349 | TX | Rural Acute Care Hospital (282NR1301X) |
United | 754 | $27253.49 | 1346228541 - AGNESIAN HEALTHCARE, INC, SSM HEALTH ST AGNES HOSPITAL FOND DU LAC | 390807236 - AGNESIAN HEALTHCARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 754 | $17345.75 | 1700509577 - PRIME HEALTHCARE SERVICES PAMPA LLC | 455125687 - (TX) PRIME HEALTHCARE SERVICES PAMPA, LLC | TX | Critical Access Hospital (282NC0060X) |
United | 754 | $34571.35 | 1588269898 - WEST PENN ALLEGHENY HEALTH SYSTEM, INC, AHN WEXFORD HOSPITAL | 250969492 - (PA) HIGHMARK HEALTH | PA | General Acute Care Hospital (282N00000X) |
United | 754 | $49855.98 | 1346802915 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS, UT SOUTHWESTERN PSYCHIATRIC CARE UNIT | 753175630 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 754 | $44367.64 | 1851390744 - THE FAUQUIER HOSPITAL INC | 463107896 | VA | General Acute Care Hospital (282N00000X) |
United | 754 | $38993.26 | 1134152549 - ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC, PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL | 814791043 - (CA) ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC | CA | 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 754 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 754 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 754 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 |
|---|---|---|
| 750-APR-DRG | High | SCHIZOPHRENIA |
| 750-MS-DRG | High | Other Female Reproductive System O.R. Procedures without CC/MCC |
| 754-MS-DRG | High | Malignancy, Female Reproductive System with MCC |
| 755-APR-DRG | High | ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 754. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 754 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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