MS-DRG 776 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 776 by major payers:
$8,282.99
$10,045.36
$11,376.28
$11,594.81
| 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 776 | ||||||
United | 776 | $21398.58 | 1912938788 - DESERT REGIONAL MEDICAL CENTER, INC., DESERT REGIONAL MEDICAL CENTER | 752694137 | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 776 | $6857.39 | 1083601330 - WESTERN MISSOURI MEDICAL CENTER | 440665266 - (MO) WESTERN MISSOURI MEDICAL CENTER | MO | General Acute Care Hospital (282N00000X) |
United | 776 | $6167.12 | 1851921571 - BHSM REHABILITATION, LLC | 823481322 | AZ | Rehabilitation Hospital (283X00000X) |
United | 776 | $5196.00 | 1447672779 - SHARON PENNSYLVANIA HOSPITAL COMPANY LLC | 815457135 | PA | General Acute Care Hospital (282N00000X) |
United | 776 | $5196.00 | 1447672779 - SHARON PENNSYLVANIA HOSPITAL COMPANY LLC | 815457135 | PA | General Acute Care Hospital (282N00000X) |
United | 776 | $6798.81 | 1962594622 - NORTHWEST IOWA HOSPITAL CORPORATION, ST LUKES REGIONAL MEDICAL CENTER | 421019872 - (IA) NORTHWEST IOWA HOSPITAL CORPORATION | IA | General Acute Care Hospital (282N00000X) |
United | 776 | $11995.36 | 1043600026 - PALOS COMMUNITY HOSPITAL | 362169179 - (IL) NORTHWESTERN MEMORIAL HEALTHCARE | IL | General Acute Care Hospital (282N00000X) |
United | 776 | $6293.06 | 1184891343 - RIVERSIDE MEDICAL CENTER | 362414944 - (IL) RIVERSIDE MEDICAL CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 776 | $8138.39 | 1841335783 - ST. JOSEPH HEALTH SERVICES OF RI, EEG GROUP | 464661337 | RI | General Acute Care Hospital (282N00000X) |
United | 776 | $6893.02 | 1285624825 - JOHNSON COUNTY HOSPITAL | 476000874 - (NE) JOHNSON COUNTY HOSPITAL | NE | Critical Access Hospital (282NC0060X) |
United | 776 | $3503.29 | 1134126659 - CALDWELL MEMORIAL HOSPITAL INC | 720878037 - (LA) CALDWELL MEMORIAL HOSPITAL, INC. | LA | General Acute Care Hospital (282N00000X) |
United | 776 | $21398.58 | 1912938788 - DESERT REGIONAL MEDICAL CENTER, INC., DESERT REGIONAL MEDICAL CENTER | 752694137 | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 776 | $12090.73 | 1295706422 - TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA, HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 231352685 - TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 776 | $4634.89 | 1861870024 - KAPLAN GENERAL HOSPITAL, INC. | 472540179 - (LA) KAPLAN GENERAL HOSPITAL INC | LA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 776 | $5964.02 | 1851343909 - VICTORIA OF TEXAS LP, DETAR HEALTHCARE SYSTEM | 621754940 | TX | 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 776 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 776 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 776 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 |
|---|---|---|
| 770-APR-DRG | High | DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
| 770-MS-DRG | High | Abortion with D&C, Aspiration Curettage or Hysterectomy |
| 776-MS-DRG | High | Postpartum and Post Abortion Diagnoses without O.R. Procedures |
| 779-MS-DRG | High | Abortion without D&C |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 776. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 776 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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