MS-DRG 730 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 730 by major payers:

$7,352.25

$8,866.99

$9,729.92

$10,052.48
| 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 730 | ||||||
United | 730 | $5468.16 | 1578569885 - OLEAN GENERAL HOSPITAL, BRADFORD HOSPITAL | 160743102 - OLEAN GENERAL HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 730 | $16764.86 | 1184654923 - DOCTORS MEDICAL CENTER OF MODESTO, INC., DOCTORS MEDICAL CENTER OF MODESTO | 752918774 | CA | General Acute Care Hospital (282N00000X) |
United | 730 | $16941.00 | 1922453521 - FLORIDA HOSPITAL | 590724459 - (FL) ADVENTIST HEALTH SYSTEM-SUNBELT INC | FL | General Acute Care Hospital (282N00000X) |
United | 730 | $10788.25 | 1861635971 - MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC | 800337676 | WI | Special Hospital (284300000X) |
United | 730 | $7074.10 | 1396786307 - SARTORI MEMORIAL HOSPITAL INC, MERCYONE CEDAR FALLS MEDICAL CENTER | 420758901 - (IA) SARTORI MEMORIAL HOSPITAL INC | IA | Psychiatric Hospital Unit (273R00000X) |
United | 730 | $10881.69 | 1720037799 - NORTH VISTA HOSPITAL LLC, NORTH VISTA HOSPITAL | 200470861 | NV | General Acute Care Hospital (282N00000X) |
United | 730 | $9870.38 | 1306889597 - VANDERBILT UNIVERSITY MEDICAL CENTER, VANDERBILT WILSON COUNTY HOSPITAL | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 730 | $16768.65 | 1902073844 - THE MEDICAL CENTER HOSPITAL AUTHORITY, HUGHSTON HOSPITAL | 331216751 - (GA) HUGHSTON HOSPITAL INC | GA | Special Hospital (284300000X) |
United | 730 | $13139.99 | 1962616086 - PINNACLE HEALTH HOSPITALS, PINNACLE HEALTH INFANE DEVELOP PRGM PT-OT | 251778644 - (PA) UPMC PINNACLE HOSPITALS | PA | General Acute Care Hospital (282N00000X) |
United | 730 | $6322.99 | 1699757401 - WITHAM MEMORIAL HOSPITAL, WITHAM HEALTH SERVICES | 351151208 - (IN) WITHAM MEMORIAL HOSPITAL | IN | General Acute Care Hospital (282N00000X) |
United | 730 | $6532.06 | 1043297401 - INSIGHT CHICAGO, INC., INSIGHT HOSPITAL & MEDICAL CENTER CHICAGO | 862358048 - INSIGHT CHICAGO INC | IL | Psychiatric Hospital Unit (273R00000X) |
United | 730 | $9694.62 | 1255712766 - SAINT THOMAS STONES RIVER HOSPITAL, LLC, ASCENSION SAINT THOMAS STONES RIVER | 474063232 | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 730 | $13510.80 | 1891870812 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 730 | $6546.35 | 1821042979 - HCA HEALTHONE LLC, NORTH SUBURBAN MEDICAL CENTER | 841321373 | CO | General Acute Care Hospital (282N00000X) |
United | 730 | $7725.87 | 1891059127 - CHHP HOLDINGS II, LLC, COMMUNITY HOSPITAL OF HUNTINGTON PARK | 272133159 - (CA) CHHP HOLDINGS II LLC | CA | General Acute Care Hospital (282N00000X) |
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 730 vs. Other Diseases & Disorders of the Male Reproductive System Codes
The MS-DRG 730 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 730 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 |
|---|---|---|
| 729-MS-DRG | High | Other Male Reproductive System Diagnoses with CC/MCC |
| 730-MS-DRG | High | Other Male Reproductive System Diagnoses without CC/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 730. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 730 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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