MS-DRG 784 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 784 by major payers:
$12,644.51
$12,388.70
$16,247.05
$17,602.13
| 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 784 | ||||||
United | 784 | $14901.00 | 1710463146 - BAPTIST HEALTH REGIONAL HOSPITALS, BAPTIST HEALTH - FORT SMITH | 825426152 - (AR) BAPTIST HEALTH REGIONAL HOSPITALS | AR | General Acute Care Hospital (282N00000X) |
United | 784 | $15164.00 | 1639669435 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY, UCHEALTH EMERGENCY ROOM - GREEN VALLEY RANCH | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 784 | $2244.00 | 1932401650 - FIVE RIVERS MEDICAL CENTER INC., ST. BERNARDS FIVE RIVERS MEDICAL CENTER | 273970823 - (AR) FIVE RIVERS MEDICAL CENTER INC | AR | Psychiatric Hospital Unit (273R00000X) |
United | 784 | $15308.25 | 1114995156 - THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS | 311538725 - (PA) PENNSYLVANIA HOSPITAL OF THE UNIV OF PENNSYLVANIA HEALTH SYSTEM | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 784 | $10190.48 | 1184967523 - ST VINCENTS BLOUNT | 810935368 | AL | Critical Access Hospital (282NC0060X) |
United | 784 | $10190.48 | 1184967523 - ST VINCENTS BLOUNT | 810935368 | AL | Critical Access Hospital (282NC0060X) |
United | 784 | $15164.00 | 1902396708 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY, UCHEALTH EMERGENCY ROOM - COMMERCE CITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 784 | $30105.83 | 1508899204 - TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE | 751748586 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE | TX | General Acute Care Hospital (282N00000X) |
United | 784 | $13067.00 | 1801262423 - SMSJ TUCSON HOLDINGS LLC, ST. JOSEPHS HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 784 | $6181.00 | 1083668719 - AMBERWELL ATCHISON ASSOCIATION, AMBERWELL HEALTH SWING BED | 480561974 - AMBERWELL ATCHISON ASSOCIATION | KS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 784 | $19805.90 | 1063175578 - MERCY HEALTH, MERCY HEALTH - ST. ANNE HOSPITAL | 344428250 - MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC | OH | General Acute Care Hospital (282N00000X) |
United | 784 | $22205.00 | 1629637608 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 784 | $10486.00 | 1124076401 - DECATUR HOSPITAL AUTHORITY, WISE HEALTH SYSTEM | 751250450 - (TX) DECATUR HOSPITAL AUTHORITY | TX | General Acute Care Hospital (282N00000X) |
United | 784 | $9000.00 | 1467574202 - CHRISTUS HEALTH CENTRAL LOUISIANA, CHRISTUS COUSHATTA HEALTH CARE CENTER | 720408984 - (LA) CHRISTUS HEALTH CENTRAL LOUISIANA | LA | Critical Access Hospital (282NC0060X) |
United | 784 | $7465.12 | 1134585656 - T J HEALTH COLUMBIA INC, T J HEALTH COLUMBIA | 810893103 - (KY) T J HEALTH COLUMBIA INC | KY | 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 784 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 784 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 784 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 |
|---|---|---|
| 783-MS-DRG | High | Cesarean Section with Sterilization with MCC |
| 784-MS-DRG | High | Cesarean Section with Sterilization with CC |
| 785-MS-DRG | High | Cesarean Section with Sterilization 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 784. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 784 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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