Data Platform
Sign InTry for Free

MS-DRG 713 Fee Schedule

Last Verified: March 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.

Transurethral Prostatectomy with CC/MCC
Key FactDetail
Service Type

Diseases & Disorders of the Male Reproductive System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 713 by major payers:

bcbs

$16,847.14

uhc

$19,033.76

aetna

$23,178.93

cigna

$23,815.34

Preview provider-level rates for...
For billing codeMS-DRG 713
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for MS-DRG 713

United
713$4958.001710099742 - MOUNTAIN STATES HEALTH ALLIANCE, SYCAMORE SHOALS HOSPITAL PSYCHIATRIC UNIT620476282 - MOUNTAIN STATES HEALTH ALLIANCETNPsychiatric Hospital Unit (273R00000X)
United
713$19843.461740805423 - FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, FROEDTERT COMMUNITY HOSPITAL843381796WIGeneral Acute Care Hospital (282N00000X)
United
713$19700.501962498733 - CENTRAL MONTGOMERY MEDICAL CENTER L L C263359979 - (PA) LANSDALE HOSPITAL CORPORATIONPAGeneral Acute Care Hospital (282N00000X)
United
713$10708.201255315305 - ROME MEMORIAL HOSPITAL, INC.161471634 - (NY) ROME MEMORIAL HOSPITAL INCNYPsychiatric Hospital Unit (273R00000X)
United
713$36427.621013130145 - BANNER HEALTH900412842AZGeneral Acute Care Hospital (282N00000X)
United
713$25702.071659310605 - MERCY HOSPITAL OF BUFFALO, MERCY HOSPITAL REHABILITATION UNIT160756336 - (NY) MERCY HOSPITAL OF BUFFALONYRehabilitation Hospital Unit (273Y00000X)
United
713$19965.641336520840 - SAINT THOMAS STONES RIVER HOSPITAL, LLC, ASCENSION SAINT THOMAS STONES RIVER474063232TNRehabilitation Hospital Unit (273Y00000X)
United
713$32025.331750788667 - CARONDELET HEALTH NETWORK, BRIDGES GEROPSYCHIATRIC PROGRAM AT ST. MARY'S HOSPITAL474131755AZPsychiatric Hospital Unit (273R00000X)
United
713$12290.871235111071 - SALINE HOSPITAL LLC, SALINE MEMORIAL HOSPITAL812816675ARGeneral Acute Care Hospital (282N00000X)
United
713$6127.121740828912 - HILLSBORO HOSPITAL LLC, HILLSBORO COMMUNITY HOSPITAL262920149KSCritical Access Hospital (282NC0060X)
United
713$22539.691366492977 - LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIE, SIBLEY MEMORIAL HOSPITAL530196602 - (DC) LUCY WEBB HAYNES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSIONDCGeneral Acute Care Hospital (282N00000X)
United
713$32025.331750788667 - CARONDELET HEALTH NETWORK, BRIDGES GEROPSYCHIATRIC PROGRAM AT ST. MARY'S HOSPITAL474131755AZPsychiatric Hospital Unit (273R00000X)
United
713$31977.771720454341 - SMSJ TUCSON HOLDINGS LLC, BRIDGES GEROPSYCHIATRIC PROGRAM AT ST. MARYS HOSPITAL474131755AZPsychiatric Hospital Unit (273R00000X)
United
713$11369.071487866315 - THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY, ATRIUM HEALTH CABARRUS560529945NCGeneral Acute Care Hospital (282N00000X)
United
713$11358.751154883692 - BOSQUE COUNTY HOSPITAL DISTRICT833446135TXMedicare Defined Swing Bed Hospital Unit (275N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

Want to see your competitors' rates?

Start your trial today to unlock complete access to provider rates and fee schedules in your area.

Here's what you can do with PayerPrice

Renegotiate your managed care contracts

Benchmark your current rates against market averages to identify opportunities for rate optimization.

Prospect for new business using fee schedules

Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.

Integrate real-time payer data into your workflows

Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.

PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.

MS-DRG 713 vs. Other Diseases & Disorders of the Male Reproductive System Codes

The MS-DRG 713 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 713 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.

CodeComplexityDescription
712-MS-DRGHighTestes Procedures without CC/MCC
713-MS-DRGHighTransurethral Prostatectomy with CC/MCC
714-MS-DRGHighTransurethral Prostatectomy 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 713. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 713 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.

FREE SAMPLE MARKET COMPARISON

Let's review your payer contracts side-by-side with the market.

Bring your top codes (like MS-DRG 713) and we'll show you how you compare in 15 minutes or less.