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See a sample rate comparisonMS-DRG 761 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.
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT 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 761 by major payers:
$7,279.06
$9,122.62
$10,206.64
$10,456.49
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MS-DRG 761
5 of 25 sample ratesHigher to lower in this preview
Hdmc Holdings, LLC, Hi-Desert Medical Center
$24,507.83Published rateSouthwestern Medical Center, LLC, Southwestern Medical Center
$14,158.79Published rateAmisub (Sfh), Inc., St. Francis Hospital
$10,129.99Published rateMonroe Hospital, LLC
$8,847.33Published rateMadison Community Hospital, Madison Regional Health System
Madison Community Hospital
$4,136.95Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 761 vs. Other Diseases & Disorders of the Female Reproductive System Codes
The MS-DRG 761 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 761 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 |
|---|---|---|
| 760-APR-DRG | High | OTHER MENTAL HEALTH DISORDERS |
| 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 761. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 761 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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