MS-DRG 760 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 760 by major payers:
$10,680.02
$12,988.55
$15,690.20
$15,960.77
| 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 760 | ||||||
United | 760 | $15926.40 | 1982611281 - NORTHERN ILLINOIS MEDICAL CENTER, CENTEGRA HOSPITAL MCHENRY | 362338884 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | General Acute Care Hospital (282N00000X) |
United | 760 | $13045.23 | 1972560654 - BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. | 640682111 - (MS) BAPTIST MEMORIAL HOSPITAL-DESOTO INC | MS | Rehabilitation Hospital Unit (273Y00000X) |
United | 760 | $12844.63 | 1831123942 - MONROE HOSPITAL, LLC | 472105584 | IN | General Acute Care Hospital (282N00000X) |
United | 760 | $1838.00 | 1982719621 - WEBSTER HEALTH SERVICES, INC., WEBSTER GENERAL HOSPITAL | 640819193 - (MS) WEBSTER HEALTH SERVICES INC | MS | General Acute Care Hospital (282N00000X) |
United | 760 | $9521.87 | 1609112606 - OSS ORTHOPAEDIC HOSPITAL, LLC, OSS HEALTH | 800458999 - (PA) OSS HEALTH | PA | General Acute Care Hospital (282N00000X) |
United | 760 | $10561.62 | 1376840504 - HAMPTON REGIONAL MEDICAL CENTER | 571017988 - (SC) HAMPTON REGIONAL MEDICAL CENTER | SC | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 760 | $27962.46 | 1598703019 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING, HOSPITAL FOR SPECIAL SURGERY | 131624135 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING | NY | General Acute Care Hospital (282N00000X) |
United | 760 | $13331.75 | 1952465320 - OTTUMWA REGIONAL HEALTH CENTER, INC | 272200283 | IA | Rehabilitation Hospital Unit (273Y00000X) |
United | 760 | $2000.00 | 1902469653 - CLHG-DEQUINCY, LLC | 364911029 - (LA) CLHGDEQUINCY LLC | LA | Critical Access Hospital (282NC0060X) |
United | 760 | $9448.95 | 1700509577 - PRIME HEALTHCARE SERVICES PAMPA LLC | 455125687 - (TX) PRIME HEALTHCARE SERVICES PAMPA, LLC | TX | Critical Access Hospital (282NC0060X) |
United | 760 | $2799.00 | 1740840909 - THIBODAUX REGIONAL HEALTH SYSTEM INC | 842046902 - (LA) THIBODAUX REGIONAL HEALTH SYSTEM INC | LA | Psychiatric Hospital (283Q00000X) |
United | 760 | $14583.08 | 1548698723 - ES REHABILITATION LLC, EMORY REHABILITATION HOSPITAL | 463808276 | GA | Rehabilitation Hospital (283X00000X) |
United | 760 | $10162.83 | 1316175417 - URGENT CARE CENTERS OF ST. ANTHONY'S MEDICAL CENTER, LC | 430980256 - (MO) MERCY HOSPITAL SOUTH | MO | General Acute Care Hospital (282N00000X) |
United | 760 | $8065.33 | 1467495796 - TCMC MADISON-PORTLAND, INC., TENNESSEE CHRISTIAN MEDICAL CENTER | 621560757 | TN | General Acute Care Hospital (282N00000X) |
United | 760 | $26378.59 | 1417554528 - KECK MEDICAL CENTER OF USC | 851644866 - (CA) KECK MEDICAL CENTER OF USC | 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 |
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 760 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 760 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 760 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 |
|---|---|---|
| 759-APR-DRG | High | EATING DISORDERS |
| 759-MS-DRG | High | Infections, Female Reproductive System without CC/MCC |
| 760-MS-DRG | High | Menstrual and Other Female Reproductive System Disorders with CC/MCC |
| 761-MS-DRG | High | Menstrual and Other Female Reproductive System Disorders 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 760. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 760 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 760) and we'll show you how you compare in 15 minutes or less.