MS-DRG 756 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 756 by major payers:
$10,485.24
$13,093.68
$15,052.49
$15,487.98
| 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 756 | ||||||
United | 756 | $10099.12 | 1235138405 - LEHIGH VALLEY HOSPITAL SCHUYLKILL, LEHIGH VALLEY HOSPITAL SCHUYLKILL S JACKSON STREET | 231352202 - (PA) LEHIGH VALLEY HOSPITAL - SCHUYKILL | PA | Rural Acute Care Hospital (282NR1301X) |
United | 756 | $9941.08 | 1255346961 - ST. JOSEPH MERCY PORT HURTON | 472361878 | MI | General Acute Care Hospital (282N00000X) |
United | 756 | $6053.75 | 1104008168 - BLACKHAWK MANGUM LLC, QUARTZ MOUNTAIN MEDICAL CENTER | 822087512 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 756 | $14108.16 | 1780633289 - CHRIST HOSPITAL, THE CHRIST HOSPITAL | 310538525 - CHRIST HOSPITAL | OH | General Acute Care Hospital (282N00000X) |
United | 756 | $6869.54 | 1891801718 - HILL HOSPITAL OF YORK, HILL HOSPITAL OF SUMTER COUNTY | 630961535 - (AL) HILL HOSPITAL OF YORK | AL | General Acute Care Hospital (282N00000X) |
United | 756 | $11503.92 | 1255302923 - LEXINGTON HOSPITAL CORPORATION, HENDERSON COUNTY COMMUNITY HOSPITAL | 421557533 | TN | General Acute Care Hospital (282N00000X) |
United | 756 | $19841.30 | 1285601237 - HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS, BENEDICTINE HOSPITAL | 141338470 - (NY) HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS | NY | Psychiatric Hospital Unit (273R00000X) |
United | 756 | $16495.72 | 1972063758 - ADVENTHEALTH RANSOM MEMORIAL, INC. | 830976641 - (KS) ADVENTHEALTH RANSOM MEMORIAL INC | KS | General Acute Care Hospital (282N00000X) |
United | 756 | $13418.00 | 1720219231 - MONTEFIORE MEDICAL CENTER NORTH DIVISION | 131740114 - MONTEFIORE MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 756 | $8711.03 | 1154367258 - AHS HOSPITAL CORP, MORRISTOWN MEDICAL CENTER | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 756 | $17255.90 | 1245217520 - FAIRVIEW HEALTH SERVICES, FAIRVIEW RIDGES HOSPITAL | 410991680 - FAIRVIEW HEALTH SERVICES | MN | General Acute Care Hospital (282N00000X) |
United | 756 | $1864.00 | 1821103516 - PONTOTOC HEALTH SERVICES, INC., PONTOTOC HEALTH SERVICES CAH | 640751410 - (MS) PONTOTOC HEALTH SERVICES INC | MS | Critical Access Hospital (282NC0060X) |
United | 756 | $10173.62 | 1992775449 - CHRISTUS HEALTH CENTRAL LOUISIANA, CHRISTUS ST. FRANCES CABRINI HOSPITAL | 720408984 - (LA) CHRISTUS HEALTH CENTRAL LOUISIANA | LA | Rehabilitation Hospital Unit (273Y00000X) |
United | 756 | $5227.50 | 1548215106 - MACON COUNTY SAMARITAN HOSPITAL | 436003377 | MO | Critical Access Hospital (282NC0060X) |
United | 756 | $6053.75 | 1104008168 - BLACKHAWK MANGUM LLC, QUARTZ MOUNTAIN MEDICAL CENTER | 822087512 | OK | 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 756 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 756 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 756 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 |
|---|---|---|
| 755-APR-DRG | High | ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
| 755-MS-DRG | High | Malignancy, Female Reproductive System with CC |
| 756-MS-DRG | High | Malignancy, Female Reproductive System without CC/MCC |
| 757-APR-DRG | High | ORGANIC MENTAL HEALTH DISTURBANCES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 756. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 756 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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