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See a sample rate comparisonMS-DRG 723 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 CC
| 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 723 by major payers:
$13,987.97
$15,036.65
$17,714.53
$18,127.16
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MS-DRG 723
5 of 25 sample ratesHigher to lower in this preview
Doctors Medical Center Of Modesto, Inc., Doctors Medical Center Of Modesto
$63,805.42Published rateCommunity Health Network, Inc., Community Hospital North
Community Health Network Inc
$21,674.25Published rateThedacare Medical Center, Riverside Medical Center, Inc.
Thedacare Medical Center-Waupaca Inc
$16,435.89Published rateNorton Hospitals, Inc, Norton Audubon Hospital
Norton Hospitals Inc
$11,910.04Published rateMena Hospital Commission, Mena Regional Health System
Mena Hospital Commission
$1,518.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 723 vs. Other Diseases & Disorders of the Male Reproductive System Codes
The MS-DRG 723 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 723 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 |
|---|---|---|
| 722-APR-DRG | High | FEVER & INFLAMMATORY CONDITIONS |
| 722-MS-DRG | High | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC |
| 723-MS-DRG | High | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC |
| 724-APR-DRG | High | OTHER INFECTIOUS & PARASITIC DISEASES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 723. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 723 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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