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See a sample rate comparisonMS-DRG 711 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.
TESTES PROCEDURES WITH CC/MCC
| 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
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MS-DRG 711
5 of 25 sample ratesHigher to lower in this preview
Staten Island University Hospital
$65,608.09Published rateAppalachian Regional Healthcare, Inc., Morgan County Arh Hospital
Appalachian Regional Healthcare Inc
$32,495.23Published rateOro Valley Hospital LLC, Oro Valley Hospital
$21,496.49Published rateProsser Public Hospital District Of Benton County, Prosser Memorial Hospital
Prosser Public Hospital District Of Benton County
$12,260.40Published rateWellmont Health System, Norton Community Rehabilitaion Unit
Wellmont Health System
$3,442.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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