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Psychiatric hospital stay (psychoses): what insurers pay

An inpatient psychiatric stay grouped to psychoses. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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MS-DRG 885: Psychoses

1428 hospitals in 80 markets. National Medicare rate $10,164.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)21$11,760$14,021$16,429$5,310–$33,562
Alaska (statewide)4———$12,446–$46,605
Arizona (statewide)26$16,290$19,113$22,666$10,530–$29,609
Arkansas (statewide)10$12,061$13,354$14,353$10,860–$16,398
Atlanta GA10$25,436$26,546$26,750$25,436–$41,496
Austin TX13$8,810$12,250$13,622$7,606–$19,716
Boston MA13$11,909$12,920$14,890$9,905–$23,329
California (statewide)49$15,826$19,655$23,294$8,936–$73,190
Charlotte NC8$21,462$23,243$27,306$15,669–$27,306
Chicago IL10$17,494$20,269$23,220$13,387–$25,980
Cleveland OH11$16,470$17,702$18,722$10,749–$23,885
Colorado (statewide)16$18,348$25,547$27,664$8,558–$43,917
Columbus OH2———$8,778–$23,274
Connecticut (statewide)6$25,460$25,776$26,448$17,350–$31,304
Dallas-Fort Worth TX15$13,258$14,969$18,391$12,280–$33,267
Delaware (statewide)2———$14,434–$15,339
Denver CO15$14,945$17,287$27,744$11,793–$36,822
Detroit MI17$17,687$19,134$22,068$13,335–$23,550
Florida (statewide)89$13,361$14,732$27,462$10,522–$41,956
Georgia (statewide)41$19,483$26,750$30,543$10,931–$41,496
Hawaii (statewide)11$15,762$20,063$26,634$13,752–$33,560
Houston TX19$14,161$18,290$23,680$12,686–$41,709
Idaho (statewide)15$19,994$22,839$30,588$13,792–$31,322
Illinois (statewide)44$13,952$15,384$21,069$9,402–$44,889
Indiana (statewide)47$14,732$17,562$23,470$8,480–$30,534
Indianapolis IN6$14,544$20,150$30,140$13,700–$31,664
Iowa (statewide)18$13,251$15,578$18,313$7,817–$23,972
Kansas (statewide)21$12,682$13,368$18,273$6,076–$27,503
Kentucky (statewide)26$12,575$15,095$18,670$8,572–$36,443
Las Vegas NV1———$23,090–$23,090
Los Angeles CA18$22,578$23,788$26,333$18,681–$32,810
Louisiana (statewide)23$10,180$12,667$14,949$6,378–$18,810
Maine (statewide)12$27,824$37,878$42,234$11,673–$42,234
Massachusetts (statewide)8$15,436$18,199$19,545$9,958–$23,353
Miami-Fort Lauderdale FL3———$13,646–$18,008
Michigan (statewide)36$13,702$18,234$19,447$9,852–$29,053
Minneapolis-St. Paul MN14$23,445$24,207$25,071$19,058–$25,429
Minnesota (statewide)21$17,796$17,824$24,488$7,668–$29,886
Mississippi (statewide)18$14,076$14,911$18,068$5,799–$38,403
Missouri (statewide)28$12,424$14,245$17,577$9,673–$27,962
Montana (statewide)6$11,814$20,864$26,462$6,729–$43,767
Nashville TN8$12,121$12,514$16,376$11,296–$27,064
Nebraska (statewide)15$23,624$24,833$28,802$16,502–$35,468
Nevada (statewide)5$18,227$20,048$27,410$15,872–$27,741
New Hampshire (statewide)8$12,598$19,038$23,366$9,066–$32,853
New Jersey (statewide)19$17,253$23,679$26,064$11,805–$61,086
New Mexico (statewide)10$11,724$16,680$22,251$9,463–$42,444
New York (statewide)47$14,890$18,717$26,185$10,134–$46,308
New York City8$25,890$26,550$31,132$12,562–$42,938
North Carolina (statewide)22$13,471$22,562$27,705$8,786–$36,720
North Dakota (statewide)7$15,838$17,914$18,384$14,560–$26,710
Ohio (statewide)48$17,000$20,960$25,212$8,972–$37,560
Oklahoma (statewide)18$11,350$14,258$15,330$7,480–$26,177
Oregon (statewide)9$22,795$25,406$29,343$12,462–$37,560
Pennsylvania (statewide)59$14,525$19,874$22,836$8,978–$44,051
Philadelphia PA11$23,798$25,622$28,391$22,078–$39,567
Phoenix AZ11$21,018$22,836$22,940$19,029–$23,068
Pittsburgh PA7$12,916$13,294$14,658$11,949–$16,040
Portland OR9$28,732$31,010$34,445$28,348–$35,690
Research Triangle NC8$20,618$21,918$22,114$11,662–$22,456
Rhode Island (statewide)7$19,694$21,670$26,742$14,930–$29,036
Richmond VA7$12,663$23,784$33,038$11,556–$35,562
Rio Grande Valley TX6$15,364$16,601$16,999$14,272–$23,497
San Antonio TX3———$10,974–$38,369
San Diego CA7$17,146$19,987$22,042$16,343–$23,554
San Francisco Bay Area CA2———$17,280–$26,479
Seattle-Tacoma WA16$27,149$29,834$34,920$27,149–$39,997
South Carolina (statewide)29$25,042$27,238$38,762$12,073–$44,605
South Dakota (statewide)4———$15,365–$22,719
St. Louis MO6$18,042$18,042$18,042$18,042–$24,352
Tampa FL11$27,022$27,462$28,834$21,594–$30,980
Tennessee (statewide)32$11,633$13,398$14,556$6,298–$27,064
Texas (statewide)82$13,126$16,336$21,128$7,362–$38,380
Vermont (statewide)3———$17,623–$38,954
Virginia (statewide)29$20,387$26,782$29,072$10,540–$37,769
Washington (statewide)13$23,165$26,259$27,399$17,638–$58,569
Washington DC11$19,075$29,465$30,310$11,521–$32,406
West Virginia (statewide)8$7,498$8,740$16,217$6,543–$33,643
Wisconsin (statewide)49$21,007$26,712$29,053$12,775–$33,597
Wyoming (statewide)1———$30,361–$30,361

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Flowers HospitalAlabama (statewide)$5,3100.6×12026-04-01
Merit Health River OaksMississippi (statewide)$5,7990.7×12026-04-01
Stormont Vail HospitalKansas (statewide)$6,0760.7×32025-12-19
Livingston Regional HospitalTennessee (statewide)$6,2980.7×12026-04-01
St Charles Parish HospitalLouisiana (statewide)$6,3780.7×12026-04-01
St Mary'S Medical CenterWest Virginia (statewide)$6,5430.7×12026-01-01
Cabell Huntington Hospital, IncWest Virginia (statewide)$6,5430.7×12026-01-01
North Alabama Shoals HospitalAlabama (statewide)$6,6500.8×32026-07-23
Mccone County Health CenterMontana (statewide)$6,7290.7×12026-01-01
Ascension ProvidenceTexas (statewide)$7,3620.7×42026-01-01
Mercy Hospital Ardmore, IncOklahoma (statewide)$7,4800.8×22026-06-12
Dell Seton Med Center At The University Of TxAustin TX$7,6060.8×22026-01-01
Mary Bridge Children'S HospitalWashington (statewide)$43,4523.7×32026-08-27
Providence St Joseph Medical CenterMontana (statewide)$43,7674.3×12026-04-01
Intermountain Health St. Mary'S Regional HospitalColorado (statewide)$43,9174.2×42026-03-22
Wellspan York HospitalPennsylvania (statewide)$44,0514.5×32026-01-01
Samaritan HospitalNew York (statewide)$44,4483.5×22026-03-31
Beaufort County Memorial HospitalSouth Carolina (statewide)$44,6054.8×12026-01-01
Taylorville Memorial HospitalIllinois (statewide)$44,8894.2×12026-09-17
Montefiore Mount Vernon HospitalNew York (statewide)$46,3083.7×82026-04-01
Providence Alaska Medical CenterAlaska (statewide)$46,6054.2×42026-04-01
Providence Centralia HospitalWashington (statewide)$58,5695.2×22026-04-01
Morristown Medical CenterNew Jersey (statewide)$61,0865.4×12026-04-01
Loma Linda University Children'S HospitalCalifornia (statewide)$73,1905.6×22026-09-02

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 psychiatric hospital stay (psychoses)?

Across 1428 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 885) is $19,061, 1.8× the same hospital's local Medicare base rate. The middle half of hospitals runs $14,083 to $26,111. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for psychiatric hospital stay (psychoses)?

Medicare's national inpatient base rate for MS-DRG 885 is $10,164, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for psychiatric hospital stay (psychoses)?

Lowest medians: Flowers Hospital ($5,310), Merit Health River Oaks ($5,799), Stormont Vail Hospital ($6,076). Highest: Loma Linda University Children'S Hospital ($73,190), Morristown Medical Center ($61,086), Providence Centralia Hospital ($58,569). Coverage: every hospital whose price file we could read.