MS-DRG 779 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 779 by major payers:
$10,367.53
$11,957.16
$14,720.95
$15,016.00
| 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 779 | ||||||
United | 779 | $31656.07 | 1407016793 - DOCTORS MEDICAL CENTER, DOCTORS BEHAVIORAL HEALTH | 752918774 | CA | Psychiatric Hospital (283Q00000X) |
United | 779 | $15330.71 | 1033854153 - BOSTON MEDICAL CENTER CORPORATION, BMC BROCKTON BEHAVIORAL HEALTH CENTER | 43314093 - (MA) BOSTON MEDICAL CENTER CORPORATION | MA | Psychiatric Hospital Unit (273R00000X) |
United | 779 | $23470.01 | 1073610473 - METROPOLITAN HOSPITAL CENTER | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 779 | $31656.07 | 1407016793 - DOCTORS MEDICAL CENTER, DOCTORS BEHAVIORAL HEALTH | 752918774 | CA | Psychiatric Hospital (283Q00000X) |
United | 779 | $12878.74 | 1609963479 - BAPTIST MEMORIAL HOSPITAL, BAPTIST BEHAVIORAL HEALTH CARE-GOLDEN TRIANGLE | 621519754 - (MS) BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INC | MS | Psychiatric Hospital Unit (273R00000X) |
United | 779 | $27059.66 | 1568605277 - CHILDREN'S HOSPITAL | 530196580 - CHILDRENS HOSPITAL | DC | Children's Hospital (282NC2000X) |
United | 779 | $22558.58 | 1710140322 - MCKEE MEDICAL CENTER | 840826332 - (CO) MCKEE MEDICAL CENTER | CO | General Acute Care Hospital (282N00000X) |
United | 779 | $5185.00 | 1235510090 - HERITAGE PARK SURGICAL HOSPITAL LLC, BAYLOR SCOTT & WHITE SURGICAL HOSPITAL AT SHERMAN | 611762781 | TX | General Acute Care Hospital (282N00000X) |
United | 779 | $18696.00 | 1083615587 - EPHRATA COMMUNITY HOSPITAL, WELLSPAN EPHRATA COMMUNITY HOSPITAL | 231370484 - EPHRATA COMMUNITY HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 779 | $15339.12 | 1972517365 - COVENANT MEDICAL CENTER | 822913146 - (TX) COVENANT MEDICAL CENTER | TX | General Acute Care Hospital (282N00000X) |
United | 779 | $2696.00 | 1740732411 - PARISH HOSPITAL SERVICE DISTRICT FOR PARISH OF ORLEANS DISTRICT A, NEW ORLEANS EAST HOSPITAL | 273335876 | LA | General Acute Care Hospital (282N00000X) |
United | 779 | $5185.00 | 1235510090 - HERITAGE PARK SURGICAL HOSPITAL LLC, BAYLOR SCOTT & WHITE SURGICAL HOSPITAL AT SHERMAN | 611762781 | TX | General Acute Care Hospital (282N00000X) |
United | 779 | $1500.00 | 1912121120 - SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER, S M R M C INPATIENT REHAB | 640468873 | MS | Rehabilitation Hospital Unit (273Y00000X) |
United | 779 | $22941.92 | 1396882205 - VANDERBILT UNIVERSITY MEDICAL CENTER | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 779 | $9240.00 | 1164478442 - OSCEOLASC LLC, ST CLOUD REGIONAL MEDICAL CENTER | 203728235 - (FL) OSCEOLASC LLC | FL | 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 779 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 779 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 779 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 |
|---|---|---|
| 776-APR-DRG | High | OTHER DRUG ABUSE & DEPENDENCE |
| 776-MS-DRG | High | Postpartum and Post Abortion Diagnoses without O.R. Procedures |
| 779-MS-DRG | High | Abortion without D&C |
| 783-MS-DRG | High | Cesarean Section with Sterilization with 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 779. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 779 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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