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See a sample rate comparisonMS-DRG 793 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.
FULL TERM NEONATE WITH MAJOR PROBLEMS
| 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 793 by major payers:
$17,671.94
$45,410.01
$64,458.59
$54,876.74
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MS-DRG 793
5 of 25 sample ratesHigher to lower in this preview
Scripps Health, Scripps Memorial Hospital La Jolla
Scripps Health
$139,561.60Published rateNorcal Healthconnect LLC, Petaluma Valley Hospital
$98,569.77Published rateNebraska Methodist Hospital, Methodist Hospital
Nebraska Methodist Hospital
$68,250.22Published ratePorter
$28,930.51Published rateCarondelet Health Network, St. Mary'S Hospital
$4,690.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 793 vs. Other Newborns & Other Neonates with Conditions Originating in Perinatal Period Codes
The MS-DRG 793 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 793 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 |
|---|---|---|
| 792-APR-DRG | High | EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
| 792-MS-DRG | High | PREMATURITY WITHOUT MAJOR PROBLEMS |
| 793-MS-DRG | High | FULL TERM NEONATE WITH MAJOR PROBLEMS |
| 794-APR-DRG | High | NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 793. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 793 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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