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Alcohol or drug treatment stay: what insurers pay

A hospital stay for alcohol or drug use disorder without rehabilitation therapy. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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MS-DRG 897: Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC

1522 hospitals in 83 markets. National Medicare rate $6,424.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)23$7,459$9,358$10,883$4,353–$21,005
Alaska (statewide)4———$7,984–$29,170
Arizona (statewide)28$10,434$12,346$14,390$6,928–$17,477
Arkansas (statewide)11$7,368$8,218$8,788$5,260–$9,368
Atlanta GA10$15,920$16,818$17,155$15,920–$25,972
Austin TX13$5,892$8,255$9,558$5,531–$12,399
Boston MA13$7,527$8,166$9,411$5,780–$18,315
California (statewide)52$10,222$12,582$14,610$5,593–$26,763
Charlotte NC8$13,432$14,547$17,258$9,903–$17,258
Chicago IL11$11,520$13,518$14,914$8,379–$16,420
Cleveland OH11$11,366$11,536$13,756$7,268–$18,150
Colorado (statewide)16$11,596$16,366$17,483$5,409–$27,756
Columbus OH3———$5,548–$23,656
Connecticut (statewide)6$16,944$17,320$23,388$15,615–$25,642
Dallas-Fort Worth TX15$9,206$9,523$12,262$8,143–$24,698
Delaware (statewide)2———$10,554–$14,345
Denver CO15$9,784$10,926$17,534$7,861–$23,175
Detroit MI17$11,376$12,093$14,826$8,971–$16,110
Florida (statewide)89$8,977$10,462$17,186$6,586–$26,516
Georgia (statewide)40$12,096$16,934$22,323$8,100–$25,972
Hawaii (statewide)11$14,411$15,228$17,901$12,576–$20,556
Houston TX19$9,766$12,060$16,325$8,240–$28,790
Idaho (statewide)15$11,658$15,052$19,144$9,022–$30,911
Illinois (statewide)43$8,648$9,723$13,177$5,942–$18,893
Indiana (statewide)55$10,696$13,481$14,834$4,414–$19,298
Indianapolis IN6$14,544$15,446$19,049$13,700–$20,012
Iowa (statewide)23$9,153$10,114$11,722$7,530–$16,004
Kansas (statewide)29$7,634$9,216$11,549$3,463–$29,170
Kentucky (statewide)27$6,862$9,030$11,222$5,365–$20,348
Las Vegas NV1———$14,451–$14,451
Los Angeles CA18$14,582$15,714$16,700$11,807–$20,536
Louisiana (statewide)23$6,586$7,928$9,356$3,992–$11,916
Maine (statewide)14$16,150$23,222$26,004$7,398–$26,692
Maryland (statewide)1———$19,956–$19,956
Massachusetts (statewide)8$6,012$9,484$11,930$4,909–$15,670
Miami-Fort Lauderdale FL3———$9,232–$11,410
Michigan (statewide)39$9,492$11,562$12,830$6,339–$18,362
Minneapolis-St. Paul MN15$12,787$15,151$16,006$9,660–$18,354
Minnesota (statewide)23$11,023$11,265$15,698$4,847–$22,110
Mississippi (statewide)20$8,470$9,288$11,009$3,851–$16,854
Missouri (statewide)34$7,503$8,959$11,174$3,952–$17,500
Montana (statewide)8$10,238$16,482$23,504$4,211–$46,507
Nashville TN8$8,525$9,532$12,410$7,722–$16,938
Nebraska (statewide)15$14,786$15,695$17,646$10,328–$21,084
Nevada (statewide)5$11,965$13,486$17,533$9,933–$17,975
New Hampshire (statewide)7$11,916$14,308$15,527$6,836–$20,763
New Jersey (statewide)19$11,826$14,823$17,546$7,586–$31,026
New Mexico (statewide)11$6,569$9,354$14,093$4,146–$26,566
New York (statewide)48$9,969$11,873$16,241$6,405–$33,011
New York City8$16,470$17,058$20,795$7,862–$26,031
North Carolina (statewide)27$8,244$13,444$17,258$5,370–$27,188
North Dakota (statewide)7$10,534$11,212$11,896$9,113–$16,718
Ohio (statewide)53$11,762$14,223$16,558$5,671–$23,656
Oklahoma (statewide)19$8,043$9,020$10,992$5,034–$16,383
Oregon (statewide)11$10,860$14,839$17,716$7,876–$23,579
Pennsylvania (statewide)61$9,313$13,320$15,303$6,003–$28,702
Philadelphia PA11$15,006$16,194$17,976$13,960–$26,371
Phoenix AZ11$13,505$14,433$14,435$12,410–$14,564
Pittsburgh PA7$9,492$10,084$11,139$8,587–$12,892
Portland OR9$19,254$20,688$21,806$17,743–$22,955
Research Triangle NC9$12,907$13,904$14,192$7,651–$14,522
Rhode Island (statewide)7$12,462$12,972$15,146$9,672–$17,411
Richmond VA7$8,272$14,885$20,701$7,628–$22,476
Rio Grande Valley TX6$10,296$11,190$11,710$9,700–$16,460
Salt Lake City UT9$10,690$10,690$10,690$10,473–$11,047
San Antonio TX3———$7,446–$31,513
San Diego CA7$11,102$12,632$14,358$10,683–$15,408
San Francisco Bay Area CA2———$11,093–$16,573
Seattle-Tacoma WA16$16,991$19,486$19,678$16,504–$25,034
South Carolina (statewide)29$16,930$17,623$24,498$8,140–$27,916
South Dakota (statewide)4———$9,711–$15,182
St. Louis MO7$11,564$11,564$14,318$4,511–$15,937
Tampa FL11$16,993$17,186$18,224$13,648–$19,580
Tennessee (statewide)33$7,381$8,645$10,382$4,460–$16,938
Texas (statewide)83$8,482$10,580$14,435$5,156–$24,257
Utah (statewide)5$10,188$10,473$10,473$6,476–$10,690
Vermont (statewide)3———$11,029–$24,380
Virginia (statewide)34$10,832$16,768$18,330$6,874–$23,871
Washington (statewide)13$14,840$16,434$18,457$11,590–$36,664
Washington DC11$12,262$18,441$19,086$7,546–$20,481
West Virginia (statewide)11$3,870$4,159$7,859$3,744–$21,263
Wisconsin (statewide)51$13,626$16,496$18,274$8,074–$21,234
Wyoming (statewide)2———$14,014–$19,011

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Mcpherson Hospital IncKansas (statewide)$3,4630.6×32026-06-08
Weirton Medical Center, IncWest Virginia (statewide)$3,7440.6×22026-07-10
Reynolds Memorial Hospital, IncWest Virginia (statewide)$3,7570.6×32026-07-09
Simpson General Hospital CahMississippi (statewide)$3,8510.7×22025-04-30
Thomas Memorial HospitalWest Virginia (statewide)$3,8680.6×32026-07-10
United Hospital Center, IncWest Virginia (statewide)$3,8720.6×22026-07-10
Stormont Vail Health Flint Hills, LlcKansas (statewide)$3,8730.7×32025-12-19
Lafayette Regional Health CenterMissouri (statewide)$3,9520.6×42026-09-01
St Charles Parish HospitalLouisiana (statewide)$3,9920.7×12026-04-01
Los Alamos Medical CenterNew Mexico (statewide)$4,1460.7×32026-07-10
Berkeley Medical CenterWest Virginia (statewide)$4,1530.7×22026-07-09
Wheeling Hospital, IncWest Virginia (statewide)$4,1590.7×32026-07-09
Montefiore Mount Vernon HospitalNew York (statewide)$28,2893.5×102026-04-01
Penn State Health Hampden Medical CenterPennsylvania (statewide)$28,7024.5×42026-03-27
Providence St Joseph Medical CenterMontana (statewide)$28,7604.5×12026-04-01
Houston Methodist West HospitalHouston TX$28,7904.6×22026-04-01
Providence Alaska Medical CenterAlaska (statewide)$29,1704.2×42026-04-01
Providence Medical CenterKansas (statewide)$29,1704.9×42026-04-01
Saint Alphonsus Regional Medical CenterIdaho (statewide)$30,9114.9×12026-03-31
Morristown Medical CenterNew Jersey (statewide)$31,0264.3×22026-04-01
University Health SystemSan Antonio TX$31,5135.0×92025-10-14
Stony Brook University HospitalNew York (statewide)$33,0114.1×12026-06-10
Providence Centralia HospitalWashington (statewide)$36,6645.2×22026-04-01
Stillwater Billings ClinicMontana (statewide)$46,5077.2×22025-12-19

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

MS-DRG 896: Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC

1490 hospitals in 83 markets. National Medicare rate $12,699.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)20$15,038$18,226$19,972$11,692–$42,400
Alaska (statewide)4———$15,428–$58,882
Arizona (statewide)28$20,138$25,162$28,647$14,142–$37,726
Arkansas (statewide)12$14,881$16,212$17,848$10,398–$20,487
Atlanta GA9$32,136$33,420$33,420$32,136–$52,428
Austin TX13$11,007$14,933$16,375$9,063–$24,776
Boston MA12$14,534$16,142$19,791$12,375–$36,206
California (statewide)52$19,709$23,649$29,284$11,290–$111,583
Charlotte NC8$27,114$29,364$34,115$19,577–$34,115
Chicago IL9$21,650$26,358$30,105$16,913–$32,459
Cleveland OH11$19,924$22,468$25,668$13,967–$29,841
Colorado (statewide)16$22,923$31,918$34,560$10,692–$54,868
Columbus OH2———$10,966–$28,426
Connecticut (statewide)6$25,460$27,463$32,271$17,350–$37,219
Dallas-Fort Worth TX15$15,954$18,641$22,544$15,049–$49,856
Delaware (statewide)2———$22,912–$34,329
Denver CO15$18,626$21,598$34,662$14,514–$46,227
Detroit MI17$23,149$23,905$30,144$18,081–$33,524
Florida (statewide)89$16,324$17,012$33,390$9,826–$52,418
Georgia (statewide)40$22,987$33,155$39,730$13,286–$52,428
Hawaii (statewide)11$22,588$24,298$32,438$19,715–$37,786
Houston TX19$17,004$22,365$28,658$15,582–$50,463
Idaho (statewide)16$24,807$36,096$39,002$16,093–$54,962
Illinois (statewide)46$16,985$19,158$26,762$9,888–$73,898
Indiana (statewide)52$14,732$22,840$29,323$8,970–$63,266
Indianapolis IN6$14,544$23,338$37,656$13,700–$44,340
Iowa (statewide)20$16,725$19,710$24,424$13,690–$31,025
Kansas (statewide)24$14,887$18,917$22,936$6,902–$34,094
Kentucky (statewide)27$13,216$17,239$21,596$9,098–$41,074
Las Vegas NV2———$29,171–$33,803
Los Angeles CA18$30,106$32,343$33,787$23,339–$41,453
Louisiana (statewide)23$13,264$16,379$18,885$8,058–$23,585
Maine (statewide)12$35,150$47,324$52,765$21,471–$52,765
Maryland (statewide)1———$9,966–$9,966
Massachusetts (statewide)8$23,277$24,480$27,856$12,442–$41,046
Miami-Fort Lauderdale FL3———$16,579–$22,556
Michigan (statewide)38$18,026$22,780$26,587$12,129–$36,298
Minneapolis-St. Paul MN15$25,278$30,583$31,641$19,095–$36,282
Minnesota (statewide)23$22,016$22,269$30,760$9,581–$37,757
Mississippi (statewide)18$17,824$18,958$22,978$11,102–$29,495
Missouri (statewide)31$15,061$17,666$22,354$7,722–$47,842
Montana (statewide)7$13,655$22,979$31,476$8,501–$59,311
Nashville TN8$14,234$15,110$20,528$12,473–$34,191
Nebraska (statewide)15$29,845$31,025$33,402$20,848–$42,616
Nevada (statewide)6$20,656$23,482$31,476$12,115–$34,659
New Hampshire (statewide)8$19,301$24,052$29,283$13,513–$41,045
New Jersey (statewide)19$23,624$30,334$34,837$14,664–$61,678
New Mexico (statewide)11$13,615$17,591$26,758$8,370–$53,624
New York (statewide)48$19,808$23,484$31,885$12,661–$57,104
New York City8$32,107$33,719$38,730$15,871–$53,644
North Carolina (statewide)25$15,596$27,986$34,115$12,174–$43,179
North Dakota (statewide)7$19,822$22,631$23,029$18,396–$33,746
Ohio (statewide)48$19,656$26,770$31,036$11,210–$47,291
Oklahoma (statewide)18$13,618$17,813$18,960$10,427–$33,070
Oregon (statewide)14$22,852$32,799$36,176$15,569–$47,291
Pennsylvania (statewide)60$20,276$26,332$30,280$11,867–$50,308
Philadelphia PA11$29,914$32,729$35,659$28,056–$55,090
Phoenix AZ11$27,342$28,531$28,660$25,797–$29,143
Pittsburgh PA7$20,276$21,572$24,006$16,975–$27,457
Portland OR9$35,816$37,414$44,039$35,513–$44,527
Research Triangle NC9$26,053$27,485$28,056$16,029–$29,314
Rhode Island (statewide)7$21,382$25,642$30,384$17,474–$34,417
Richmond VA7$16,466$33,088$40,356$14,218–$41,276
Rio Grande Valley TX6$18,506$19,621$21,029$16,580–$28,266
Salt Lake City UT9$20,802$20,802$20,802$20,379–$21,496
San Antonio TX3———$13,529–$43,194
San Diego CA7$21,241$24,971$27,194$20,178–$29,185
San Francisco Bay Area CA2———$21,472–$33,454
Seattle-Tacoma WA16$34,298$38,811$40,875$33,102–$50,534
South Carolina (statewide)29$34,029$35,644$52,632$15,158–$66,584
South Dakota (statewide)4———$19,196–$28,384
St. Louis MO7$22,869$22,869$25,586$8,917–$29,530
Tampa FL11$33,300$33,390$36,024$27,431–$38,705
Tennessee (statewide)33$14,704$17,158$18,855$8,864–$34,191
Texas (statewide)82$16,085$19,863$25,384$9,063–$47,950
Utah (statewide)5$19,824$20,379$20,379$12,801–$20,802
Vermont (statewide)3———$22,264–$49,212
Virginia (statewide)30$25,416$34,001$36,704$13,111–$47,188
Washington (statewide)13$29,776$33,181$36,485$14,346–$74,774
Washington DC11$24,130$37,224$38,064$14,215–$40,486
West Virginia (statewide)11$7,870$8,444$15,981$7,612–$42,032
Wisconsin (statewide)50$25,458$33,334$36,298$14,553–$41,975
Wyoming (statewide)2———$27,703–$39,509

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Mcpherson Hospital IncKansas (statewide)$6,9020.6×12026-06-08
Stormont Vail Health Flint Hills, LlcKansas (statewide)$7,5640.7×32025-12-19
Weirton Medical Center, IncWest Virginia (statewide)$7,6120.6×22026-07-10
Reynolds Memorial Hospital, IncWest Virginia (statewide)$7,6390.6×32026-07-09
Lafayette Regional Health CenterMissouri (statewide)$7,7220.6×42026-09-01
Thomas Memorial HospitalWest Virginia (statewide)$7,8670.7×32026-07-10
United Hospital Center, IncWest Virginia (statewide)$7,8740.7×22026-07-10
St Charles Parish HospitalLouisiana (statewide)$8,0580.7×12026-04-01
Wheeling Hospital, IncWest Virginia (statewide)$8,3300.7×32026-07-09
Los Alamos Medical CenterNew Mexico (statewide)$8,3700.7×32026-07-10
Berkeley Medical CenterWest Virginia (statewide)$8,4440.7×22026-07-09
Mccone County Health CenterMontana (statewide)$8,5010.7×12026-01-01
Mary Bridge Children'S HospitalWashington (statewide)$56,5443.9×32026-08-27
Montefiore Mount Vernon HospitalNew York (statewide)$57,1043.6×102026-04-01
Prisma Health Richland HospitalSouth Carolina (statewide)$58,0874.8×42026-03-01
Providence Alaska Medical CenterAlaska (statewide)$58,8824.2×42026-04-01
Providence St Joseph Medical CenterMontana (statewide)$59,3114.7×12026-04-01
Morristown Medical CenterNew Jersey (statewide)$61,6784.4×22026-04-01
Northwest Health- StarkeIndiana (statewide)$63,2664.8×52026-04-01
Prisma Health BaptistSouth Carolina (statewide)$66,5845.6×32026-03-01
Mason District HospitalIllinois (statewide)$73,8985.5×12026-03-10
Providence Centralia HospitalWashington (statewide)$74,7745.3×22026-04-01
Loma Linda University Children'S HospitalCalifornia (statewide)$81,5605.0×22026-09-02
Lac/Rancho Los Amigos National Rehabilitation CtrCalifornia (statewide)$111,5836.8×12026-03-12

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for alcohol or drug treatment stay?

Across 1522 hospitals in 83 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 897) is $12,327, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $9,292 to $16,492. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for alcohol or drug treatment stay?

Medicare's national inpatient base rate for MS-DRG 897 is $6,424, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for alcohol or drug treatment stay?

Lowest medians: Mcpherson Hospital Inc ($3,463), Weirton Medical Center, Inc ($3,744), Reynolds Memorial Hospital, Inc ($3,757). Highest: Stillwater Billings Clinic ($46,507), Providence Centralia Hospital ($36,664), Stony Brook University Hospital ($33,011). Coverage: every hospital whose price file we could read.