MS-DRG 789 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 789 by major payers:
$11,412.10
$20,614.31
$28,181.31
$24,614.04
| 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 789 | ||||||
United | 789 | $30841.41 | 1831599604 - SOUTHESTERN REGIONAL MEDICAL CENTER, SRMC-HOSPITALIST | 560530233 - SOUTHEASTERN REGIONAL MEDICAL CENTER | NC | Hospitalist Physician (208M00000X) |
United | 789 | $4158.00 | 1013346550 - MOUNTAIN STATES HEALTH ALLIANCE, UNICOI COUNTY HOSPITAL | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | TN | General Acute Care Hospital (282N00000X) |
United | 789 | $32376.22 | 1659827756 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CANCER INST-GROVE | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 789 | $27394.71 | 1902905102 - UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM | 561118388 | NC | General Acute Care Hospital (282N00000X) |
United | 789 | $27394.71 | 1902905102 - UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM | 561118388 | NC | General Acute Care Hospital (282N00000X) |
United | 789 | $22262.10 | 1629057229 - AHS HILLCREST MEDICAL CENTER, LLC, HILLCREST MEDICAL CENTER | 770633896 - (OK) AHS HILLCREST MEDICAL CENTER LLC | OK | General Acute Care Hospital (282N00000X) |
United | 789 | $10786.75 | 1285718478 - IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME | 370673512 - IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME | IL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 789 | $6706.00 | 1285064907 - PRIME HEALTHCARE PARADISE VALLEY LLC, PARADISE VALLEY HOSPITAL | 205837239 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 789 | $14237.58 | 1447423900 - COPLEY MEMORIAL HOSPITAL, INC | 362170840 - (IL) COPLEY MEMORIAL HOSPITAL INC | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 789 | $16587.39 | 1649226952 - ANDERSON REGIONAL MEDICAL CENTER, ANDERSON REGIONAL MEDICAL CENTER | 640362400 - (MS) ANDERSON REGIONAL MEDICAL CENTER | MS | General Acute Care Hospital (282N00000X) |
United | 789 | $14510.92 | 1609860659 - FORT LOUDOUN MEDICAL CENTER | 621373691 - (TN) FORT LOUDOUN MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 789 | $26379.16 | 1124292446 - THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC | 350593390 - DEACONESS HOSPITAL INC | IN | Special Hospital (284300000X) |
United | 789 | $23815.94 | 1548463474 - PUBLIC HOSPITAL DISTRICT NO. 2, EVERGREEN HOSPITAL MEDICAL CENTER | 910844563 | WA | General Acute Care Hospital (282N00000X) |
United | 789 | $29917.56 | 1861687907 - BRYAN LGH HOSPITAL | 470376552 - BRYAN MEDICAL CENTER | NE | General Acute Care Hospital (282N00000X) |
United | 789 | $26600.08 | 1992159289 - THEDACARE MEDICAL CENTER, COMMUNITY HEALTH NETWORK, INC. AND BERLIN MEMORIAL HOSPITAL | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | Critical Access Hospital (282NC0060X) |
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 789 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 789 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 789 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 |
|---|---|---|
| 788-MS-DRG | High | Cesarean Section without Sterilization without CC/MCC |
| 789-MS-DRG | High | Neonates, Died or Transferred to Another Acute Care Facility |
| 790-MS-DRG | High | Extreme Immaturity or Respiratory Distress Syndrome, Neonate |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 789. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 789 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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