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See a sample rate comparisonMS-DRG 712 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 WITHOUT 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 712 by major payers:
$12,726.96
$14,078.72
$16,981.65
$17,549.28
Compare published rates across providers.
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MS-DRG 712
5 of 25 sample ratesHigher to lower in this preview
North Shore University Hospital, Nsuh Psychiatric Exempt Unit
North Shore University Hospital
$38,084.17Published rateNsuh @ Plainview Psychiatric Unit
Plainview Hospital
$17,931.83Published rateCh Allied Services, Inc., Boone Hospital Center
Ch Allied Services Inc
$13,359.29Published rateEssent Healthcare, Nashoba Valley Medical Center
$9,141.87Published rateSt. Vincent Clay Hospital, Inc
St Vincent Clay Hospital Inc
$3,095.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 712 vs. Other Diseases & Disorders of the Male Reproductive System Codes
The MS-DRG 712 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 712 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 |
|---|---|---|
| 711-APR-DRG | High | POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
| 711-MS-DRG | High | TESTES PROCEDURES WITH CC/MCC |
| 712-MS-DRG | High | TESTES PROCEDURES WITHOUT CC/MCC |
| 713-MS-DRG | High | TRANSURETHRAL PROSTATECTOMY WITH 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 712. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 712 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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