MS-DRG 724 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 724 by major payers:
$9,193.66
$10,666.28
$11,641.06
$11,941.09
| 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 724 | ||||||
United | 724 | $8951.66 | 1962721373 - AUBURN COMMUNITY HOSPITAL, AUBURN MEMORIAL HOSPITALISTS GROUP | 150532054 - AUBURN COMMUNITY HOSPITAL | NY | Hospitalist Physician (208M00000X) |
United | 724 | $13008.00 | 1720185267 - PHELPS MEMORIAL HOSPITAL ASSOCIATION, PHELPS HOSPITAL | 131725076 - (NY) PHELPS MEMORIAL HOSPITAL ASSOCIATION | NY | General Acute Care Hospital (282N00000X) |
United | 724 | $13768.34 | 1730330838 - PROVIDENCE HEALTH & SERVICES-WA | 352346161 | WA | Rehabilitation Hospital Unit (273Y00000X) |
United | 724 | $5661.74 | 1902849516 - COMMUNITY MEMORIAL HOSPITAL, INC | 460219795 - COMMUNITY MEMORIAL HOSPITAL INC | SD | Critical Access Hospital (282NC0060X) |
United | 724 | $10603.32 | 1679937494 - THEDCARE REGIONAL MEDICAL CENTER, THEDA CLARK MEDICAL CENTER, INC. | 390830664 - (WI) THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC | WI | General Acute Care Hospital (282N00000X) |
United | 724 | $13158.51 | 1740368851 - MERCY HEALTH, MERCY HEALTH - WEST HOSPITAL (REHABILITATION UNIT) | 311091597 | OH | Rehabilitation Hospital Unit (273Y00000X) |
United | 724 | $17967.66 | 1629152939 - TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD | 751438726 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 724 | $34803.62 | 1518960814 - ASPEN VALLEY HOSPITAL DISTRICT | 840720309 - (CO) ASPEN VALLEY HOSPITAL DISTRICT | CO | Critical Access Hospital (282NC0060X) |
United | 724 | $6391.81 | 1134130289 - VALLEY MEDICAL FACILITIES, INC., VALLEY MEDICAL FACILITIES, HERITAGE VALLEY BEAVER | 251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEM | PA | Psychiatric Hospital Unit (273R00000X) |
United | 724 | $8834.28 | 1346490273 - DESOTO MEMORIAL HOSPITAL | 591205441 - (FL) DESOTO MEMORIAL HOSPITAL | FL | Rural Acute Care Hospital (282NR1301X) |
United | 724 | $17263.44 | 1417105107 - ENUMCLAW REGIONAL HOSPITAL ASSOCIATION, ST ELIZABETH HOSPTIAL | 910715805 - (WA) ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | WA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 724 | $10397.84 | 1700155587 - METHODIST LE BONHEUR HEALTHCARE | 620479367 - METHODIST HEALTHCARE-MEMPHIS | TN | General Acute Care Hospital (282N00000X) |
United | 724 | $8245.48 | 1285719328 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 724 | $15253.79 | 1215444054 - FLORIDA HOSPITAL DADE CITY INC, ADVENTHEALTH DADE CITY | 822567308 - (FL) FLORIDA HOSPITAL DADE CITY INC | FL | General Acute Care Hospital (282N00000X) |
United | 724 | $9299.12 | 1366521296 - PRESENCE CHICAGO HOSPITALS NETWORK, SAINT JOSEPH HOSPITAL - CHICAGO PSYCHIATRIC UNIT | 992171028 | IL | 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 724 vs. Other Diseases & Disorders of the Male Reproductive System Codes
The MS-DRG 724 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 724 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 |
|---|---|---|
| 723-APR-DRG | High | VIRAL ILLNESS |
| 723-MS-DRG | High | Malignancy, Male Reproductive System with CC |
| 724-MS-DRG | High | Malignancy, Male Reproductive System without CC/MCC |
| 725-MS-DRG | High | Benign Prostatic Hypertrophy with 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 724. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 724 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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