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MS-DRG 722 Fee Schedule

Last Verified: March 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 FactDetail
Service Type

Diseases & Disorders of the Male Reproductive System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 722 by major payers:

bcbs

$20,343.89

uhc

$22,717.01

aetna

$27,286.23

cigna

$27,774.15

Preview provider-level rates for...
For billing codeMS-DRG 722
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for MS-DRG 722

United
722$13140.011154314789 - ASCENSION VIA CHRISTI HOSPITALS WICHITA INC.481172106 - ASCENSION VIA CHRISTI HOSPITALS WICHITA INCKSGeneral Acute Care Hospital (282N00000X)
United
722$34443.141073711065 - MEDSTAR GEORGETOWN MEDICAL CENTER, INC, GEORGETOWN UNIVERSITY HOSPITAL PHYSICIANS522218584 - (DC) MEDSTAR-GEORGETOWN MEDICAL CENTER INCDCGeneral Acute Care Hospital (282N00000X)
United
722$38046.801649383035 - INTEGRIS BASS BAPTIST HEALTH CENTER730612674OKMedicare Defined Swing Bed Hospital Unit (275N00000X)
United
722$31929.331922053107 - AURORA HEALTH CARE CENTRAL, INC., AURORA MEDICAL CENTER SHEBOYGAN COUNTY390930748 - AURORA HEALTH CARE CENTRAL INCWIGeneral Acute Care Hospital (282N00000X)
United
722$11804.001609983790 - MONMOUTH MEDICAL CENTER INC223452412NJGeneral Acute Care Hospital (282N00000X)
United
722$39524.141417106907 - OVERLOOK HOSPITAL521958352 - ATLANTIC HEALTH SYSTEM INCNJGeneral Acute Care Hospital (282N00000X)
United
722$40917.511700961869 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL474131755AZGeneral Acute Care Hospital (282N00000X)
United
722$83896.601801821376 - JOHN MUIR HEALTH, JOHN MUIR HEALTH MEDICAL CENTER, CONCORD CAMPUS680396600CAGeneral Acute Care Hospital (282N00000X)
United
722$17256.151952418352 - GENEVA GENERAL HOSPITAL INC.160743032 - (NY) GENEVA GENERAL HOSPITALNYGeneral Acute Care Hospital (282N00000X)
United
722$24752.661184948762 - HAYWOOD REGIONAL MEDICAL CENTER300830918NCGeneral Acute Care Hospital (282N00000X)
United
722$23423.141700821808 - PHC-LAS CRUCES INC, MEMORIAL MEDICAL CENTER OF LAS CRUCES270085482NMGeneral Acute Care Hospital (282N00000X)
United
722$23787.931386687036 - VAN BUREN HMA LLC, SPARKS MEDICAL CENTER- VAN BUREN825426152 - (AR) BAPTIST HEALTH REGIONAL HOSPITALSARGeneral Acute Care Hospital (282N00000X)
United
722$5328.001669569984 - IRVING-COPPELL SURGICAL HOSPITAL LLP, BAYLOR SCOTT & WHITE SURGICAL HOSPITAL - LAS COLINAS542086863TXGeneral Acute Care Hospital (282N00000X)
United
722$78592.341275558819 - SIERRA VISTA HOSPITAL, INC., SIERRA VISTA REGIONAL MEDICAL CENTER952588614CARehabilitation Hospital Unit (273Y00000X)
United
722$16846.401639192891 - FORT PAYNE HOSPITAL CORPORATION, DEKALB REGIONAL MEDICAL CENTER934333907ALPsychiatric Hospital Unit (273R00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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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.

CodeComplexityDescription
718-MS-DRGHighOther Male Reproductive System O.R. Procedures except Malignancy without CC/MCC
722-MS-DRGHighMalignancy, Male Reproductive System with MCC
723-APR-DRGHighVIRAL ILLNESS
723-MS-DRGHighMalignancy, 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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