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See a sample rate comparisonMS-DRG 713 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.
TRANSURETHRAL PROSTATECTOMY 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 713 by major payers:
$16,847.14
$19,033.76
$23,178.93
$23,815.34
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MS-DRG 713
5 of 25 sample ratesHigher to lower in this preview
New York City Health And Hospitals Corporation, Kings County Hospital Center
New York City Health And Hospitals Corporation
$36,970.44Published rateMercy Hospital Of Buffalo, Mercy Hospital Rehabilitation Unit
Mercy Hospital Of Buffalo
$25,702.07Published rateHsa Glenwood, LLC
$18,728.58Published rateThe Charlotte-Mecklenburg Hospital Authority, Atrium Health Cabarrus
$11,369.07Published rateClhg-Dequincy, LLC
Clhgdequincy LLC
$2,000.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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.
| Code | Complexity | Description |
|---|---|---|
| 712-MS-DRG | High | TESTES PROCEDURES WITHOUT CC/MCC |
| 713-MS-DRG | High | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC |
| 714-MS-DRG | High | TRANSURETHRAL 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.
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