MS-DRG 711 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 711 by major payers:
$23,197.94
$25,113.13
$30,272.77
$31,145.29
| 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 711 | ||||||
United | 711 | $18878.64 | 1275777690 - OAKWOOD HEALTHCARE INC, BEAUMONT HOSPITAL, TAYLOR | 381405141 - (MI) OAKWOOD HEALTHCARE INC | MI | General Acute Care Hospital (282N00000X) |
United | 711 | $28840.50 | 1215921077 - OUR LADY OF THE LAKE ASCENSION COMMUNITY HOSPITAL, INC., ST. ELIZABETH HOSPITAL | 720423651 - (LA) OUR LADY OF THE LAKE HOSPITAL INC | LA | General Acute Care Hospital (282N00000X) |
United | 711 | $40974.08 | 1306176839 - ORTHOCOLORADO, LLC, ORTHO COLORADO HOSPITAL AT ST ANTHONY MEDI | 371577105 - (CO) ORTHOCOLORADO HOSPITAL | CO | Special Hospital (284300000X) |
United | 711 | $20919.16 | 1033163407 - ST JOSEPH HEALTH SYSTEM LLC, LUTHERAN DOWNTOWN HOSPITAL | 510382045 | IN | Rehabilitation Hospital Unit (273Y00000X) |
United | 711 | $65608.09 | 1689821944 - STATEN ISLAND UNIVERSITY HOSPITAL | 112868878 - (NY) STATEN ISLAND UNIVERSITY HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 711 | $12260.40 | 1306897681 - PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY, PROSSER MEMORIAL HOSPITAL | 916013490 - PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY | WA | Critical Access Hospital (282NC0060X) |
United | 711 | $51187.17 | 1003991845 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE PORTLAND MEDICAL CENTER | 930386906 | OR | General Acute Care Hospital (282N00000X) |
United | 711 | $48643.87 | 1548689672 - GREENVILLE HEALTH SYSTEM, GHS CARDIOVASCULAR SVCS GRNV | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 711 | $7896.00 | 1922076603 - ST JOHN SAPULPA, INC. | 730662663 - (OK) ST JOHN SAPULPA INC | OK | Critical Access Hospital (282NC0060X) |
United | 711 | $32495.23 | 1629014055 - APPALACHIAN REGIONAL HEALTHCARE, INC., MORGAN COUNTY ARH HOSPITAL | 520795508 - APPALACHIAN REGIONAL HEALTHCARE INC | KY | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 711 | $17948.17 | 1538164090 - UNIVERSITY HEALTH SYSTEM, INC., UNIVERSITY OF TENNESSEE MEDICAL CENTER | 311626179 - (TN) UNIVERSITY HEALTH SYSTEMS INC | TN | General Acute Care Hospital (282N00000X) |
United | 711 | $33007.53 | 1427671098 - OHI WEST, INC, BAYFRONT HEALTH ST. PETERSBURG | 845074208 - (FL) OHI WEST INC | FL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 711 | $8429.03 | 1023011657 - SWEENY HOSPITAL DISTRICT, SWEENY COMMUNITY HOSPITAL | 741498067 | TX | Critical Access Hospital (282NC0060X) |
United | 711 | $21003.23 | 1801971965 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 711 | $11595.00 | 1730620428 - JERSEY CITY MEDICAL CENTER-RWJ BARNABAS HEALTH | 222783298 - (NJ) JERSEY CITY MEDICAL CENTER | NJ | 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 711 vs. Other Diseases & Disorders of the Male Reproductive System Codes
The MS-DRG 711 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 711 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 |
|---|---|---|
| 710-APR-DRG | High | INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
| 710-MS-DRG | High | Penis Procedures without CC/MCC |
| 711-MS-DRG | High | Testes Procedures with CC/MCC |
| 712-MS-DRG | High | Testes 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 711. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 711 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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