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See a sample rate comparisonMS-DRG 722 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.
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH 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 722 by major payers:
$20,343.89
$22,717.01
$27,286.23
$27,774.15
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MS-DRG 722
5 of 25 sample ratesHigher to lower in this preview
John Muir Health, John Muir Health Medical Center, Concord Campus
$83,896.60Published rateMedstar Georgetown Medical Center, Inc, Georgetown University Hospital Physicians
Medstar-Georgetown Medical Center Inc
$34,443.14Published rateHaywood Regional Medical Center
$24,752.66Published rateSaline Hospital LLC, Saline Memorial Hospital
$15,495.21Published rateTerrebonne Parish Hospital Service District #1, Terrebonne General Medical Center
Terrebonne Hospital Service District No 1
$3,724.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 722 vs. Other Diseases & Disorders of the Male Reproductive System Codes
The MS-DRG 722 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 722 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 |
|---|---|---|
| 718-MS-DRG | High | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC |
| 722-MS-DRG | High | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC |
| 723-APR-DRG | High | VIRAL ILLNESS |
| 723-MS-DRG | High | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 722. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 722 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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