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See a sample rate comparisonMS-DRG 665 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.
PROSTATECTOMY WITH MCC
| Key Fact | Detail |
|---|---|
| Service Type | Diseases & Disorders of the Kidney & Urinary Tract |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 665 by major payers:
$35,011.40
$46,890.44
$52,984.94
$54,917.00
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MS-DRG 665
5 of 25 sample ratesHigher to lower in this preview
Providence Health & Services Oregon, Providence Portland Medical Center
$99,327.17Published rateSt. Catherine Of Siena Medical Center
St Catherine Of Siena Medical Center
$52,744.26Published rateIndiana Regional Medical Center
$35,754.80Published ratePhc-Los Alamos Inc, Los Alamos Medical Center - Swing Bed Unit
$14,383.41Published rateOktibbeha County Hospital, Och Regional Medical Center
Oktibbeha County Hospital
$2,368.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 665 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 665 code is part of the Diseases & Disorders of the Kidney & Urinary Tract 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 665 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 |
|---|---|---|
| 664-MS-DRG | High | MINOR BLADDER PROCEDURES WITHOUT CC/MCC |
| 665-MS-DRG | High | PROSTATECTOMY WITH MCC |
| 666-MS-DRG | High | PROSTATECTOMY 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 665. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 665 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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