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See a sample rate comparisonMS-DRG 797 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 CC
| 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 797 by major payers:
$10,485.10
$9,841.22
$13,746.96
$15,739.30
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MS-DRG 797
5 of 25 sample ratesHigher to lower in this preview
University Of Colorado Hospital Authority
$24,307.92Published rateTunkhannock Hospital Company LLC, Tyler Memorial Hospital
$12,244.58Published rateVanderbilt Medical Center
Vanderbilt University Medical Center
$8,328.00Published rateChattanooga Hamilton County Hospital Authority, Erlanger Bledsoe Swing Bed
Erlanger Medical Center
$5,167.00Published rateSeiling Municipal Hospital Authority
$1,591.00Published rate
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See a sample payer proposalMS-DRG 797 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 797 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 797 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 |
|---|---|---|
| 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 |
| 798-MS-DRG | High | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 797. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 797 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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