MS-DRG 788 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 788 by major payers:
$10,501.61
$11,419.61
$14,084.80
$14,757.65
| 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 788 | ||||||
United | 788 | $2525.00 | 1679596860 - ST DOMINIC-JACKSON MEMORIAL HOSPITAL | 640303091 - (MS) ST DOMINIC-JACKSON MEMORIAL HOSPITAL | MS | Psychiatric Hospital Unit (273R00000X) |
United | 788 | $13647.00 | 1063463156 - NOVANT HEALTH MATTHEWS MEDICAL CENTER LLC, NOVANT HEALTH MATTHEWS MEDICAL CENTER | 561376368 - (NC) NOVANT HEALTH MATTHEWS MEDICAL CENTER LLC | NC | General Acute Care Hospital (282N00000X) |
United | 788 | $20776.43 | 1437558558 - TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL, TEXAS HEALTH BEHAVIORAL HEALTH FACILITY ARLINGTON | 750972805 - (TX) TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL | TX | Psychiatric Hospital Unit (273R00000X) |
United | 788 | $1800.00 | 1669403192 - NACOGDOCHES COUNTY HOSPITAL DISTRICT, NACOGDOCHES MEMORIAL HOSPITAL | 871142127 - (TX) LION STAR NACOGDOCHES HOSPITAL, LLC DBA NACOGDOCHES MEMORIAL HOSPITAL | TX | Rural Acute Care Hospital (282NR1301X) |
United | 788 | $14873.54 | 1699726695 - NORTHWEST ARKANSAS HOSPITALS, LLC, NORTHWEST MEDICAL CENTER | 205896848 | AR | General Acute Care Hospital (282N00000X) |
United | 788 | $18066.00 | 1598860108 - MEMORIAL HEALTH SYSTEMS INC, ADVENTHEALTH DAYTONA BEACH | 590973502 - MEMORIAL HEALTH SYSTEMS INC | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 788 | $8217.38 | 1326079534 - CHILDRESS COUNTY HOSPITAL DISTRICT, CHILDRESS REGIONAL MEDICAL CENTER | 751228349 | TX | General Acute Care Hospital (282N00000X) |
United | 788 | $8203.00 | 1508883422 - LAWRENCE MEMORIAL HOSPITAL | 486033703 | KS | General Acute Care Hospital (282N00000X) |
United | 788 | $17526.00 | 1003822487 - LEGACY EMANUEL HOSPITAL & HEALTH CENTER, LEGACY EMANUEL HOSPITAL ADULT PSYCHIATRIC UNIT | 930386823 - LEGACY EMANUEL HOSPITAL & HEALTH CENTER | OR | Psychiatric Hospital Unit (273R00000X) |
United | 788 | $6143.00 | 1790719524 - THE BROOKLYN HOSPITAL CENTER | 111630755 - (NY) THE BROOKLYN HOSPITAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 788 | $8620.88 | 1336730423 - DELTA HEALTH SYSTEM, DELTA HEALTH-HIGHLAND HILLS | 862025903 - (MS) DELTA HEALTH SYSTEM | MS | General Acute Care Hospital (282N00000X) |
United | 788 | $10509.00 | 1609007525 - BELLEVUE MEDICAL CENTER LLC, BELLEVUE MEDICAL CENTER - NEBRASKA MEDICINE | 204305186 - (NE) BELLEVUE MEDICAL CENTER LLC | NE | General Acute Care Hospital (282N00000X) |
United | 788 | $18587.06 | 1164144028 - THE PRESBYTERIAN HOSPITAL, NOVANT HEALTH INPATIENT REHABILITATION FACILITY AT COH | 560554230 - PRESBYTERIAN HOSPITAL | NC | Rehabilitation Hospital Unit (273Y00000X) |
United | 788 | $14346.73 | 1063489342 - THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS | 311538725 - (PA) PENNSYLVANIA HOSPITAL OF THE UNIV OF PENNSYLVANIA HEALTH SYSTEM | PA | General Acute Care Hospital (282N00000X) |
United | 788 | $7393.00 | 1255791885 - HOUSTON NORTHWEST OPERATING COMPANY, LLC, HCA HOUSTON HEALTHCARE NORTHWEST | 261512163 | TX | Rehabilitation Hospital Unit (273Y00000X) |
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 788 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 788 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 788 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 |
|---|---|---|
| 787-MS-DRG | High | Cesarean Section without Sterilization with CC |
| 788-MS-DRG | High | Cesarean Section without Sterilization without CC/MCC |
| 789-MS-DRG | High | Neonates, Died or Transferred to Another Acute Care Facility |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 788. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 788 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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