MS-DRG 770 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 | • Pregnancy, Childbirth & the Puerperium |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 770 by major payers:

$10,365.22

$13,907.53

$16,654.66

$17,308.08
| 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 770 | ||||||
United | 770 | $9330.73 | 1801262423 - SMSJ TUCSON HOLDINGS LLC, ST. JOSEPHS HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 770 | $8489.69 | 1548306343 - ELMHURST MEMORIAL HOSPITAL | 362167784 - (IL) ELMHURST MEMORIAL HEALTHCARE | IL | General Acute Care Hospital (282N00000X) |
United | 770 | $11299.08 | 1518945799 - FORT SANDERS REGIONAL MEDICAL CENTER, PATRICIA NEAL REHABILITATION CENTER | 620528340 - (TN) FORT SANDERS REGIONAL MEDICAL CENTER | TN | Rehabilitation Hospital Unit (273Y00000X) |
United | 770 | $3564.00 | 1073519377 - SMYTH COUNTY COMMUNITY HOSPITAL | 540794913 - (VA) SMYTH COUNTY COMMUNITY HOSPITAL | VA | General Acute Care Hospital (282N00000X) |
United | 770 | $23137.23 | 1336478478 - BRIDGPORT HOSPITAL | 60646554 - (CT) BRIDGEPORT HOSPITAL | CT | General Acute Care Hospital (282N00000X) |
United | 770 | $9330.73 | 1801262423 - SMSJ TUCSON HOLDINGS LLC, ST. JOSEPHS HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 770 | $13732.99 | 1578372363 - SAINT MARY OF NAZARETH HOSPITAL | 992171028 | IL | Psychiatric Hospital Unit (273R00000X) |
United | 770 | $8767.08 | 1386697688 - ORO VALLEY HOSPITAL LLC, ORO VALLEY HOSPITAL | 522379881 | AZ | General Acute Care Hospital (282N00000X) |
United | 770 | $9778.69 | 1821465576 - LAKE SURGICAL HOSPITAL SLIDELL, LLC, SOUTHERN SURGICAL HOSPITAL | 474228147 - (LA) LAKE SURGICAL HOSPITAL SLIDELL, LLC DBA SOUTHERN SURGICAL HOSPITAL | LA | General Acute Care Hospital (282N00000X) |
United | 770 | $14562.58 | 1629062799 - NORTH KANSAS CITY HOSPITAL | 446005747 - (MO) NORTH KANSAS CITY HOSPITAL | MO | General Acute Care Hospital (282N00000X) |
United | 770 | $21842.80 | 1619935640 - METRO WEST | 741152597 - (TX) MEMORIAL HERMANN HEALTH SYSTEM | TX | General Acute Care Hospital (282N00000X) |
United | 770 | $15414.11 | 1659531952 - SOUTHEASTERN REGIONAL MEDICAL CENTER, SRMC-HOSPITALIST | 560530233 - SOUTHEASTERN REGIONAL MEDICAL CENTER | NC | Hospitalist Physician (208M00000X) |
United | 770 | $8767.08 | 1386697688 - ORO VALLEY HOSPITAL LLC, ORO VALLEY HOSPITAL | 522379881 | AZ | General Acute Care Hospital (282N00000X) |
United | 770 | $9197.38 | 1649276973 - JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC., FRAZIER REHAB INSTITUTE MEADE COUNTY | 843178470 - UOFL HEALTH-LOUISVILLE INC | KY | Rehabilitation Hospital Unit (273Y00000X) |
United | 770 | $13252.79 | 1568461440 - APPALACHIAN REGIONAL HEALTHCARE, INC, BECKLEY ARH HOSPITAL | 520795508 - APPALACHIAN REGIONAL HEALTHCARE INC | WV | 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 770 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 770 code is part of the Pregnancy, Childbirth & the Puerperium 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 770 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 |
|---|---|---|
| 769-MS-DRG | High | Postpartum and Post Abortion Diagnoses with O.R. Procedures |
| 770-MS-DRG | High | Abortion with D&C, Aspiration Curettage or Hysterectomy |
| 776-APR-DRG | High | OTHER DRUG ABUSE & DEPENDENCE |
| 776-MS-DRG | High | Postpartum and Post Abortion Diagnoses without O.R. Procedures |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 770. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 770 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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