MS-DRG 707 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Diseases & Disorders of the Male Reproductive System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 707 by major payers:
$22,567.56
$24,889.58
$30,368.50
$31,525.36
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for MS-DRG 707 | ||||||
United | 707 | $20244.33 | 1184868879 - ST LUKE'S LAKESIDE HOSPITAL, LLC, ST LUKE'S LAKESIDE HOSPITAL | 300427437 - (TX) ST LUKES LAKESIDE HOSPITAL LLC | TX | Special Hospital (284300000X) |
United | 707 | $20886.67 | 1154308518 - INSIGHT CHICAGO, INC., INSIGHT HOSPITAL & MEDICAL CENTER CHICAGO | 862358048 - INSIGHT CHICAGO INC | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 707 | $16434.93 | 1194907493 - SOUTHEAST HOSPITAL, MERCY HOSPITAL SOUTHEAST | 430654874 - (MO) SOUTHEAST HOSPITAL | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 707 | $43805.16 | 1427363936 - VHS CHILDRENS HOSPITAL OF MICHIGAN INC, CHILDRENS HOSPITAL OF MICHIGAN REHAB UNIT | 272845064 | MI | Rehabilitation Hospital Unit (273Y00000X) |
United | 707 | $58635.23 | 1467411991 - UNIVERSITY HOSPITAL AT STONY BROOK, STONY BROOK EASTERN LONG ISLAND HOSPITAL PSYCH UNIT | 113243405 | NY | Psychiatric Hospital Unit (273R00000X) |
United | 707 | $23237.25 | 1629170824 - ST CATHERINE HOSPITAL INC | 351738708 - (IN) ST CATHERINE HOSPITAL INC | IN | Psychiatric Hospital Unit (273R00000X) |
United | 707 | $65460.32 | 1740059948 - EAST COOPER MEDICAL CENTER LLC | 934555562 | SC | Rehabilitation Hospital Unit (273Y00000X) |
United | 707 | $42104.00 | 1295828390 - UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, UCSF MEDICAL CENTER | 943281657 | CA | General Acute Care Hospital (282N00000X) |
United | 707 | $36754.96 | 1154764819 - ST. CATHERINE OF SIENA MEDICAL CENTER | 61562701 - (NY) ST CATHERINE OF SIENA MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 707 | $29454.42 | 1154762060 - MANATEE MEMORIAL HOSPITAL | 232798290 - (FL) MANATEE MEMORIAL HOSPITAL, L.P. | FL | General Acute Care Hospital (282N00000X) |
United | 707 | $42104.00 | 1295828390 - UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, UCSF MEDICAL CENTER | 943281657 | CA | General Acute Care Hospital (282N00000X) |
United | 707 | $21445.52 | 1942208616 - ST. LUKE'S COMMUNITY HEALTH SERVICES, ST. LUKE'S THE WOODLANDS HOSPITAL | 760536234 - (TX) ST LUKES COMMUNITY HEALTH SERVICES | TX | General Acute Care Hospital (282N00000X) |
United | 707 | $22705.01 | 1255640819 - VHS OF ARROWHEAD, INC., ABRAZO ARIZONA HEART HOSPITAL | 621811285 | AZ | General Acute Care Hospital (282N00000X) |
United | 707 | $43729.48 | 1346250594 - PROVIDENCE HEALTH & SERVICES WASHINGTON, PROVIDENCE ST PETER HOSPITAL | 910567732 | WA | General Acute Care Hospital (282N00000X) |
United | 707 | $5123.00 | 1861423352 - LAKE POINTE PARTNERS, LTD., LAKE POINTE MEDICAL CENTER | 260194016 - (TX) LAKE POINTE OPERATING COMPANY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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MS-DRG 707 vs. Other Diseases & Disorders of the Male Reproductive System Codes
The MS-DRG 707 code is part of the Diseases & Disorders of the Male Reproductive System 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 707 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 |
|---|---|---|
| 707-MS-DRG | High | Major Male Pelvic Procedures with CC/MCC |
| 708-MS-DRG | High | Major Male Pelvic Procedures 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 707. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 707 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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