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MS-DRG 789 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.

NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
Key FactDetail
Service Type

Newborns & Other Neonates with Conditions Originating in Perinatal Period

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 789 by major payers:

bcbs

$11,412.10

uhc

$20,614.31

aetna

$28,181.31

cigna

$24,614.04

Compare published rates across providers.

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MS-DRG 789
5 of 25 sample ratesHigher to lower in this preview
  1. Sentara Hospitals, Sentara Williamsburg Regional Medical Center

    Sentara Hospitals

    VAGeneral Acute Care HospitalNPI 1619938149Tax ID 54-1547408

    $52,406.98Published rate
  2. Methodist Healthcare

    Methodist Healthcare-Memphis

    TNGeneral Acute Care HospitalNPI 1558365890Tax ID 62-0479367

    $27,577.98Published rate
  3. Chatham Hospital Inc

    NCCritical Access HospitalNPI 1093712655Tax ID 56-0611546

    $17,122.36Published rate
  4. Freeman-Oak Hill Health System, Freeman Health System

    Freeman Health System

    MOPsychiatric Hospital UnitNPI 1073627584Tax ID 43-1704371

    $8,106.00Published rate
  5. Geneva County Healthcare Authority, Inc., Lifetime Health Services

    Geneva County Health Care Authority Inc Dba Wiregrass Medical Center

    ALPsychiatric Hospital UnitNPI 1801931944Tax ID 63-6004474

    $2,122.00Published rate

National sample. Rates vary by location, specialty, and contract.

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Payer Contract Negotiation

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MS-DRG 789 vs. Other Newborns & Other Neonates with Conditions Originating in Perinatal Period Codes

The MS-DRG 789 code is part of the Newborns & Other Neonates with Conditions Originating in Perinatal Period 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.

CodeComplexityDescription
788-MS-DRGHighCESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC
789-MS-DRGHighNEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
790-MS-DRGHighEXTREME 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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