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See a sample rate comparisonMS-DRG 715 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.
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY 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 715 by major payers:
$24,447.33
$29,471.93
$35,563.59
$36,710.56
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MS-DRG 715
5 of 25 sample ratesHigher to lower in this preview
Westchester County Health Care Corporation, Mid-Hudson Valley Division Of Westchester Medical Center
Peo Mid-Hudson Valley Staffco
$84,900.78Published rateMemorial Hospital At Gulfport
Gulfport Surgery Clinic, LLC
$45,764.44Published rateMountain Vista Medical Center, Lp, Florence Hospital, A Campus Of Mountain Vista Medical Center
Honorhealth
$37,589.39Published rateWest Suburban Hospital Medical Center, West Suburban Medical Center
$27,810.96Published rateChambers County Public Hospital District No 1, Omni Point Health Hospital
$11,627.99Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 715 vs. Other Diseases & Disorders of the Male Reproductive System Codes
The MS-DRG 715 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 715 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 |
|---|---|---|
| 714-MS-DRG | High | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC |
| 715-MS-DRG | High | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC |
| 716-MS-DRG | High | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY 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 715. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 715 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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