MS-DRG 722 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 722 by major payers:

$20,343.89

$22,717.01

$27,286.23

$27,774.15
| 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 722 | ||||||
United | 722 | $13140.01 | 1154314789 - ASCENSION VIA CHRISTI HOSPITALS WICHITA INC. | 481172106 - ASCENSION VIA CHRISTI HOSPITALS WICHITA INC | KS | General Acute Care Hospital (282N00000X) |
United | 722 | $34443.14 | 1073711065 - MEDSTAR GEORGETOWN MEDICAL CENTER, INC, GEORGETOWN UNIVERSITY HOSPITAL PHYSICIANS | 522218584 - (DC) MEDSTAR-GEORGETOWN MEDICAL CENTER INC | DC | General Acute Care Hospital (282N00000X) |
United | 722 | $38046.80 | 1649383035 - INTEGRIS BASS BAPTIST HEALTH CENTER | 730612674 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 722 | $31929.33 | 1922053107 - AURORA HEALTH CARE CENTRAL, INC., AURORA MEDICAL CENTER SHEBOYGAN COUNTY | 390930748 - AURORA HEALTH CARE CENTRAL INC | WI | General Acute Care Hospital (282N00000X) |
United | 722 | $11804.00 | 1609983790 - MONMOUTH MEDICAL CENTER INC | 223452412 | NJ | General Acute Care Hospital (282N00000X) |
United | 722 | $39524.14 | 1417106907 - OVERLOOK HOSPITAL | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 722 | $40917.51 | 1700961869 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 722 | $83896.60 | 1801821376 - JOHN MUIR HEALTH, JOHN MUIR HEALTH MEDICAL CENTER, CONCORD CAMPUS | 680396600 | CA | General Acute Care Hospital (282N00000X) |
United | 722 | $17256.15 | 1952418352 - GENEVA GENERAL HOSPITAL INC. | 160743032 - (NY) GENEVA GENERAL HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 722 | $24752.66 | 1184948762 - HAYWOOD REGIONAL MEDICAL CENTER | 300830918 | NC | General Acute Care Hospital (282N00000X) |
United | 722 | $23423.14 | 1700821808 - PHC-LAS CRUCES INC, MEMORIAL MEDICAL CENTER OF LAS CRUCES | 270085482 | NM | General Acute Care Hospital (282N00000X) |
United | 722 | $23787.93 | 1386687036 - VAN BUREN HMA LLC, SPARKS MEDICAL CENTER- VAN BUREN | 825426152 - (AR) BAPTIST HEALTH REGIONAL HOSPITALS | AR | General Acute Care Hospital (282N00000X) |
United | 722 | $5328.00 | 1669569984 - IRVING-COPPELL SURGICAL HOSPITAL LLP, BAYLOR SCOTT & WHITE SURGICAL HOSPITAL - LAS COLINAS | 542086863 | TX | General Acute Care Hospital (282N00000X) |
United | 722 | $78592.34 | 1275558819 - SIERRA VISTA HOSPITAL, INC., SIERRA VISTA REGIONAL MEDICAL CENTER | 952588614 | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 722 | $16846.40 | 1639192891 - FORT PAYNE HOSPITAL CORPORATION, DEKALB REGIONAL MEDICAL CENTER | 934333907 | AL | Psychiatric Hospital Unit (273R00000X) |
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 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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