MS-DRG 759 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 759 by major payers:
$8,080.51
$9,250.17
$10,499.39
$10,697.63
| 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 759 | ||||||
United | 759 | $14320.69 | 1336109107 - SENTARA HOSPITALS, SENTARA CAREPLEX HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 759 | $12974.08 | 1942404165 - ST JUDE HOSPITAL INC, PROVIDENCE ST. JUDE MEDICAL CENTER | 951643325 - (CA) ST JUDE HOSPITAL | CA | Rehabilitation Hospital (283X00000X) |
United | 759 | $14593.91 | 1487226106 - STEWARD NSMC, INC., PSYCH | 862695690 | FL | Psychiatric Hospital (283Q00000X) |
United | 759 | $4999.45 | 1063175578 - MERCY HEALTH, MERCY HEALTH - ST. ANNE HOSPITAL | 344428250 - MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC | OH | General Acute Care Hospital (282N00000X) |
United | 759 | $15264.00 | 1982150009 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH GREER MEMORIAL HOSPITAL | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 759 | $9093.96 | 1952497489 - OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC | 720423635 - OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC | LA | General Acute Care Hospital (282N00000X) |
United | 759 | $6893.02 | 1841258589 - CRIPPLED CHILDREN'S HOSPITAL, CHILDREN'S HOSPITAL | 540506309 - (VA) VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD | VA | Children's Hospital (282NC2000X) |
United | 759 | $9162.87 | 1568618379 - DLP HAYWOOD REGIONAL MEDICAL CENTER LLC, HAYWOOD REGIONAL MEDICAL CENTER BEHAVIORAL HEALTH UNIT | 300830918 | NC | Psychiatric Hospital Unit (273R00000X) |
United | 759 | $9062.79 | 1730121104 - UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC | 311479038 | OH | Psychiatric Hospital Unit (273R00000X) |
United | 759 | $10223.36 | 1447639398 - SAINT THOMAS STONES RIVER HOSPITAL, LLC, ASCENSION SAINT THOMAS STONES RIVER | 474063232 | TN | General Acute Care Hospital (282N00000X) |
United | 759 | $16123.51 | 1649294026 - UNIVERSITY HOSPITAL AT STONY BROOK, STONY BROOK UNIVERSITY HOSPITAL | 113243405 | NY | Psychiatric Hospital Unit (273R00000X) |
United | 759 | $13076.16 | 1285601237 - HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS, BENEDICTINE HOSPITAL | 141338470 - (NY) HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS | NY | Psychiatric Hospital Unit (273R00000X) |
United | 759 | $9538.55 | 1659492106 - ST. CHARLES HOSPITAL AND REHABILITATION CENTER | 111871039 - (NY) ST CHARLES HOSPITAL CORP | NY | Rehabilitation Hospital (283X00000X) |
United | 759 | $5633.49 | 1437175734 - VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY, VCU MEDICAL CENTER | 541848065 | VA | General Acute Care Hospital (282N00000X) |
United | 759 | $11477.40 | 1609824010 - OREGON HEALTH & SCIENCE UNIVERSITY | 931176109 | OR | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
MS-DRG 759 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 759 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 759 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 |
|---|---|---|
| 758-APR-DRG | High | BEHAVIORAL DISORDERS |
| 758-MS-DRG | High | Infections, Female Reproductive System with CC |
| 759-MS-DRG | High | Infections, Female Reproductive System without CC/MCC |
| 760-APR-DRG | High | OTHER MENTAL HEALTH DISORDERS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 759. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 759 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like MS-DRG 759) and we'll show you how you compare in 15 minutes or less.