MS-DRG 712 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 712 by major payers:
$12,726.96
$14,078.72
$16,981.65
$17,549.28
| 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 712 | ||||||
United | 712 | $3095.27 | 1770533994 - ST. VINCENT CLAY HOSPITAL, INC | 352112529 - (IN) ST VINCENT CLAY HOSPITAL INC | IN | Critical Access Hospital (282NC0060X) |
United | 712 | $22245.53 | 1902865355 - GOOD SAMARITAN HOSPITAL MEDICAL CENTER | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 712 | $9141.87 | 1164427431 - ESSENT HEALTHCARE, NASHOBA VALLEY MEDICAL CENTER | 274157855 | MA | General Acute Care Hospital (282N00000X) |
United | 712 | $10824.34 | 1285227629 - SCRANTON HOSPITAL COMPANY LLC, REGIONAL HOSPITAL OF SCRANTON | 274564798 | PA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 712 | $27780.80 | 1588697296 - WEST BOCA MEDICAL CENTER, INC., WEST BOCA MEDICAL CENTER | 752922710 | FL | General Acute Care Hospital (282N00000X) |
United | 712 | $9840.32 | 1942260609 - ARKANSAS SURGICAL HOSPITAL, LLC | 710858717 - (AR) ARKANSAS SURGICAL HOSPITAL, LLC | AR | General Acute Care Hospital (282N00000X) |
United | 712 | $14716.62 | 1598546723 - BAPTIST HEALTH, BAPTIST HEALTH MEDICAL CENTER - DREW MEMORIAL | 710236856 - (AR) BAPTIST HEALTH | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 712 | $38084.17 | 1295742468 - NORTH SHORE UNIVERSITY HOSPITAL, NSUH PSYCHIATRIC EXEMPT UNIT | 111562701 - (NY) NORTH SHORE UNIVERSITY HOSPITAL | NY | Psychiatric Hospital Unit (273R00000X) |
United | 712 | $14013.90 | 1902125529 - VHS WEST SUBURBAN MEDICAL CENTER INC | 611899386 | IL | General Acute Care Hospital (282N00000X) |
United | 712 | $13904.79 | 1285831396 - DECATUR COUNTY MEMORIAL HOSPITAL, DECATUR COUNTY MEMORIAL HOSPITAL SWING BED | 351141109 - DECATUR COUNTY MEMORIAL HOSPITAL | IN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 712 | $11758.11 | 1790860856 - CARONDELET HEALTH NETWORK, ST JOSEPH'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 712 | $10278.00 | 1285395889 - CHILDREN'S HOSPITAL COLORADO, CHILDREN'S HOSPITAL COLORADO - TELSTAR | 840166760 - CHILDRENS HOSPITAL COLORADO | CO | Children's Hospital (282NC2000X) |
United | 712 | $6952.39 | 1124026182 - WAYNE MEMORIAL HOSPITAL | 240798839 - (PA) WAYNE MEMORIAL HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 712 | $26684.38 | 1912171323 - AURORA HEALTH CARE METRO, INC., AURORA ST. LUKE'S MEDICAL CENTER | 390806181 - AURORA HEALTH CARE INC | WI | Rehabilitation Hospital Unit (273Y00000X) |
United | 712 | $27780.80 | 1588697296 - WEST BOCA MEDICAL CENTER, INC., WEST BOCA MEDICAL CENTER | 752922710 | FL | 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 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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