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See a sample rate comparisonMS-DRG 796 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.
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC
| 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 796 by major payers:
$14,043.94
$11,768.02
$16,763.46
$20,400.03
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MS-DRG 796
5 of 25 sample ratesHigher to lower in this preview
Central Suffolk Hospital, Peconic Bay Medical Center Professional Group Practice
Central Suffolk Hospital
$41,788.21Published rateSouthern Ocean County Hospital
Hackensack Meridian Health Inc
$20,506.00Published rateSimpson Community Healthcare, Inc., Simpson General Hospital
Simpson Community Healthcare Inc
$9,250.67Published rateSt. Louis Children'S Hospital
St Louis Childrens Hospital
$5,219.00Published rateBallinger Memorial Hospital District, Ballinger Memorial Hospital
$1,400.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 796 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 796 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 796 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 |
|---|---|---|
| 795-MS-DRG | High | NORMAL NEWBORN |
| 796-MS-DRG | High | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC |
| 797-MS-DRG | High | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 796. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 796 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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