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 | $8046.00 | 1205089026 - PRIME HEALTHCARE SERVICES | 263487583 | CA | General Acute Care Hospital (282N00000X) |
United | 788 | $9025.37 | 1447368071 - ADVOCATE HEALTH AND HOSPITALS CORPORATION, ADVOCATE GOOD SHEPHERD HOSPITAL | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 788 | $12899.38 | 1356328199 - EMORY UNIVERSITY, EMORY UNIVERSITY HOSPITAL | 580566256 - (GA) EMORY UNIVERSITY | GA | Rehabilitation Hospital (283X00000X) |
United | 788 | $12028.00 | 1033210166 - PRESENCE CHICAGO HOSPITALS NETWORK, PRESENCE SAINT FRANCIS HOSPITAL | 992441755 | IL | General Acute Care Hospital (282N00000X) |
United | 788 | $12028.00 | 1033210166 - PRESENCE CHICAGO HOSPITALS NETWORK, PRESENCE SAINT FRANCIS HOSPITAL | 992441755 | IL | 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 | $10940.00 | 1255378337 - MIDWEST DIVISION, MENORAH MEDICAL CENTER | 481301826 - (KS) MIDWEST DIVISION | KS | 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 | 788 | $11502.32 | 1952312191 - ST MARY MEDICAL CENTER, OSF SAINT MARY MEDICAL CENTER | 370662581 | IL | General Acute Care Hospital (282N00000X) |
United | 788 | $20601.83 | 1073610473 - METROPOLITAN HOSPITAL CENTER | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 788 | $17153.00 | 1639128820 - FORT WALTON BEACH MEDICAL CENTER, INC., HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | 611259833 - (FL) FORT WALTON BEACH MEDICAL CENTER INC | FL | 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 | $21354.00 | 1558877787 - LONGMONT UNITED HOSPITAL, CENTURA LONGMONT UNITED HOSPITAL | 840460697 - LONGMONT UNITED HOSPITAL | CO | General Acute Care Hospital (282N00000X) |
United | 788 | $22791.19 | 1154355188 - BANNER THUNDERBIRD MEDICAL CENTER | 270036484 - (AZ) BANNER THUNDERBIRD MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 788 | $14471.00 | 1215969787 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE SIERRA CAMPUS | 954537720 | 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 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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