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See a sample rate comparisonMS-DRG 807 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 WITHOUT STERILIZATION OR D&C WITHOUT CC/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 807 by major payers:
$7,221.79
$7,933.81
$10,011.27
$10,340.27
Compare published rates across providers.
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MS-DRG 807
5 of 25 sample ratesHigher to lower in this preview
Greenville Health System, Ghs Cancer Inst-Greer
Prisma Health - Upstate
$15,199.61Published rateSmsj Tucson Holdings LLC, St. Josephs Hospital
$9,239.00Published rateSpring Valley Medical Center
$7,596.00Published rateChca Conroe Lp, Conroe Regional Medical Center
Chca Conroe Lp
$6,285.00Published rateDlp Person Memorial Hospital LLC, Person Memorial Hospital
$4,355.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 807 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 807 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 807 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 |
|---|---|---|
| 806-MS-DRG | High | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC |
| 807-MS-DRG | High | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC |
| 808-MS-DRG | High | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH 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 807. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 807 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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