MS-DRG 717 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 717 by major payers:
$20,926.28
$24,319.88
$29,135.77
$30,085.09
| 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 717 | ||||||
United | 717 | $26541.68 | 1629057229 - AHS HILLCREST MEDICAL CENTER, LLC, HILLCREST MEDICAL CENTER | 770633896 - (OK) AHS HILLCREST MEDICAL CENTER LLC | OK | General Acute Care Hospital (282N00000X) |
United | 717 | $4708.00 | 1710099742 - MOUNTAIN STATES HEALTH ALLIANCE, SYCAMORE SHOALS HOSPITAL PSYCHIATRIC UNIT | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | TN | Psychiatric Hospital Unit (273R00000X) |
United | 717 | $5130.00 | 1639287311 - ALBERT EINSTEIN MEDICAL CENTER | 231396794 - ALBERT EINSTEIN HEALTHCARE NETWORK | PA | Psychiatric Hospital Unit (273R00000X) |
United | 717 | $12386.54 | 1245353747 - DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT, COON MEMORIAL HOSPITAL | 751702162 | TX | Critical Access Hospital (282NC0060X) |
United | 717 | $91609.47 | 1396818209 - COASTAL CAROLINA MEDICAL CENTER, INC., COASTAL CAROLINA HOSPITAL- REHABILITATION UNIT | 300151925 - (SC) COASTAL CAROLINA MEDICAL CENTER INC | SC | Rehabilitation Hospital Unit (273Y00000X) |
United | 717 | $19292.73 | 1386786119 - SSM REGIONAL HEALTH SERVICES, ST, MARY'S HEALTH CENTER BHM | 440546097 | MO | Psychiatric Hospital Unit (273R00000X) |
United | 717 | $2765.00 | 1174553598 - WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC, HAWKINS COUNTY MEMORIAL HOSPITAL | 621816368 - (TN) WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC | TN | General Acute Care Hospital (282N00000X) |
United | 717 | $38514.60 | 1306898960 - ST. VINCENT HOSPITAL & HEALTH CARE CENTER, INC., ASCENSION ST. VINCENT HOSPITAL | 350869066 - (IN) ST VINCENT HOSPITAL & HEALTH CARE | IN | General Acute Care Hospital (282N00000X) |
United | 717 | $12255.00 | 1497900781 - MONMOUTH MEDICAL CENTER INC | 223452412 | NJ | Psychiatric Hospital Unit (273R00000X) |
United | 717 | $28019.84 | 1255785390 - PROSPECT CCMC, LLC | 811507712 | PA | Psychiatric Hospital Unit (273R00000X) |
United | 717 | $9763.15 | 1922300649 - FIVE RIVERS MEDICAL CENTER INC., ST. BERNARDS FIVE RIVERS MEDICAL CENTER | 273970823 - (AR) FIVE RIVERS MEDICAL CENTER INC | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 717 | $15600.21 | 1245211168 - SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, SENTARA ALBEMARLE MEDICAL CENTER | 463846081 - SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC | NC | General Acute Care Hospital (282N00000X) |
United | 717 | $37110.00 | 1588969307 - WELLSPAN SURGERY AND REHABILITATION HOSPITAL, WELLSPAN SURGERY AND REHABILITATION HOSPITAL | 232899911 - (PA) WELLSPAN SURGERY AND REHABILITATION HOSPITAL | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 717 | $28331.81 | 1477641892 - ST ELIZABETH MEDICAL CENTER, MOHAWK VALLEY HEALTH SYSTEM INC | 150532245 - (NY) ST ELIZABETH MEDICAL CENTER | NY | Psychiatric Hospital Unit (273R00000X) |
United | 717 | $33970.60 | 1922305606 - ST FRANCIS COMMUNITY HOSPITAL, FRANCISCAN HEALTH SYSTEM | 911267921 - (WA) ST FRANCIS COMMUNITY HOSPITAL | WA | 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 717 vs. Other Diseases & Disorders of the Male Reproductive System Codes
The MS-DRG 717 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 717 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 |
|---|---|---|
| 716-MS-DRG | High | Other Male Reproductive System O.R. Procedures for Malignancy without CC/MCC |
| 717-MS-DRG | High | Other Male Reproductive System O.R. Procedures except Malignancy with CC/MCC |
| 718-MS-DRG | High | Other Male Reproductive System O.R. Procedures except 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 717. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 717 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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