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See a sample rate comparisonMS-DRG 790 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.
EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE
| Key Fact | Detail |
|---|---|
| Service Type | Newborns & Other Neonates with Conditions Originating in Perinatal Period |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 790 by major payers:
$37,314.56
$71,001.90
$92,714.68
$78,275.70
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MS-DRG 790
5 of 25 sample ratesHigher to lower in this preview
Saint Francis Hospital, St. Francis Hospital
Peo Mid-Hudson Valley Staffco
$211,082.01Published rateUniversity Of Colorado Hospital Authority
$127,385.17Published ratePublic Hospital District 1 Of Snohomish County, Evergreenhealth Monroe
$92,233.57Published rateEast Texas Medical Center Henderson, Etmc Swing Bed
$60,638.50Published rateCasa Colina Hospital And Centers For Healthcare
$4,660.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 790 vs. Other Newborns & Other Neonates with Conditions Originating in Perinatal Period Codes
The MS-DRG 790 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 790 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 |
|---|---|---|
| 789-MS-DRG | High | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY |
| 790-MS-DRG | High | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE |
| 791-APR-DRG | High | O.R. Procedure For Other Complications Of Treatment |
| 791-MS-DRG | High | PREMATURITY WITH MAJOR PROBLEMS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 790. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 790 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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