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See a sample rate comparisonMS-DRG 787 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.
CESAREAN SECTION WITHOUT STERILIZATION WITH CC
| 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 787 by major payers:
$12,488.14
$12,278.33
$16,035.83
$17,305.36
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MS-DRG 787
5 of 25 sample ratesHigher to lower in this preview
University Of California San Francisco Medical Center, Ucsf Medical Center
$28,143.00Published rateMemorial Hermann Health System, Memorial Hermann Northeast
Memorial Hermann Health System
$21,554.53Published rateSteward Nsmc, Inc., Steward Florida Medical Center A Campus Of North Shore
$13,679.00Published rateHti Memorial Hospital Corporation, Tristar Skyline Medical Center
$12,400.00Published rateSoutheast Alabama Regional Health, Medical Center Barbour
$5,463.62Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 787 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 787 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 787 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 |
|---|---|---|
| 786-MS-DRG | High | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC |
| 787-MS-DRG | High | CESAREAN SECTION WITHOUT STERILIZATION WITH CC |
| 788-MS-DRG | High | CESAREAN SECTION WITHOUT 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 787. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 787 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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