MS‑DRG 897: Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC
What Medicare paid hospitals for MS‑DRG 897 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $7,306 per discharge for MS‑DRG 897, across 11,716 fee-for-service discharges at 502 hospitals: 0.24% of all Medicare inpatient discharges and $85.6M in total, the 145th largest MS‑DRG by Medicare spending.
By state, the average ran from $4,696 in New Mexico to $12,287 in New Jersey. Across hospitals, half were paid between $5,679 and $7,863 per case, and the median hospital $6,399; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $35,111 on average for these stays, 4.8 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.
What changed in FY2027
The rates for discharges from October 1, 2026 (MS‑DRG version 44) against FY2026.
| FY2026 | FY2027 | Change | |
|---|---|---|---|
| Relative weight | 0.8828 | 0.8584 | −2.8% |
| Geometric mean stay (days) | 3.3 | 3.2 | −0.1 |
| Average stay (days) | 4.3 | 4.0 | −0.3 |
- Not capped: the −2.8% is CMS’s yearly recalibration of every weight from recent claims and cost data.
- Name, MDC and transfer status are unchanged.
FY2027 national base payment (illustration)
$6,341.82
The FY2027 weight times the operating standardized amount and the capital rate ($6,848.00 + $539.95) at a wage index of 1.0. No IME, DSH, outlier or other hospital-specific adjustment, so it is not what any hospital is paid; price it at a hospital for that.
| MS‑DRG | Severity | Payment ($) | Step ($) |
|---|---|---|---|
| 896 | with MCC | 12,276.56 | +5,934.74 |
| 897 | without MCC | 6,341.82 | — |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 897 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| New Jersey | $12,287 | 641 | 24 | 4.2× |
| Hawaii | $12,283 | 12 | 1 | 7.2× |
| New York | $9,243 | 1,060 | 37 | 4.9× |
| California | $8,947 | 1,390 | 57 | 7.0× |
| Wyoming | $8,505 | 26 | 2 | 2.4× |
| District of Columbia | $8,467 | 43 | 3 | 4.0× |
| Connecticut | $7,973 | 193 | 9 | 4.5× |
| Alaska | $7,585 | 41 | 3 | 11.3× |
| Maryland* | $7,550 | 427 | 16 | 1.3× |
| Georgia | $7,369 | 173 | 8 | 4.2× |
| Utah | $7,326 | 53 | 3 | 4.0× |
| Rhode Island | $7,235 | 119 | 5 | 3.7× |
| Massachusetts | $7,211 | 1,328 | 35 | 2.5× |
| Nevada | $7,130 | 79 | 4 | 7.2× |
| Missouri | $7,080 | 206 | 11 | 3.8× |
| Oregon | $7,007 | 70 | 4 | 3.6× |
| Vermont | $6,848 | 70 | 3 | 3.7× |
| Alabama | $6,750 | 172 | 8 | 2.8× |
| Nebraska | $6,749 | 77 | 5 | 3.6× |
| Maine | $6,633 | 112 | 6 | 3.9× |
| New Hampshire | $6,613 | 102 | 5 | 5.3× |
| Minnesota | $6,368 | 363 | 14 | 4.6× |
| Louisiana | $6,363 | 16 | 1 | 6.9× |
| Washington | $6,356 | 150 | 7 | 5.5× |
| Arizona | $6,238 | 85 | 6 | 6.1× |
| Pennsylvania | $6,237 | 330 | 16 | 7.1× |
| Texas | $6,203 | 148 | 10 | 8.6× |
| Florida | $6,182 | 780 | 38 | 8.1× |
| Michigan | $6,155 | 296 | 17 | 4.2× |
| Indiana | $6,142 | 177 | 8 | 3.8× |
| Iowa | $6,090 | 179 | 10 | 4.2× |
| Delaware | $6,055 | 71 | 3 | 4.8× |
| Virginia | $6,029 | 154 | 9 | 5.4× |
| Oklahoma | $6,007 | 49 | 3 | 3.3× |
| Illinois | $5,970 | 455 | 26 | 4.8× |
| North Dakota | $5,877 | 85 | 4 | 4.3× |
| Tennessee | $5,843 | 121 | 6 | 5.4× |
| Wisconsin | $5,830 | 162 | 9 | 4.7× |
| Colorado | $5,793 | 22 | 2 | 17.4× |
| Ohio | $5,674 | 318 | 16 | 4.8× |
| South Carolina | $5,672 | 43 | 3 | 7.5× |
| Kansas | $5,666 | 64 | 4 | 8.3× |
| Idaho | $5,606 | 62 | 2 | 3.6× |
| Montana | $5,592 | 26 | 2 | 3.4× |
| South Dakota | $5,583 | 29 | 2 | 5.0× |
| Arkansas | $5,547 | 107 | 6 | 5.4× |
| North Carolina | $5,428 | 682 | 14 | 2.4× |
| Mississippi | $5,352 | 115 | 4 | 1.9× |
| Kentucky | $5,188 | 151 | 7 | 4.5× |
| West Virginia | $4,781 | 55 | 3 | 6.0× |
| New Mexico | $4,696 | 27 | 1 | 5.3× |
| United States | $7,306 | 11,716 | 502 | 4.8× |
* Maryland hospitals are paid under the state’s all-payer model, not the IPPS, so Maryland is left out of the state range above.
How much hospitals vary
Each hospital’s own average Medicare payment for MS‑DRG 897.
| 10th percentile | $5,111 |
|---|---|
| 25th percentile | $5,679 |
| Median hospital | $6,399 |
| 75th percentile | $7,863 |
| 90th percentile | $9,283 |
Related analysis
The same condition at other severities
Questions
What did Medicare pay for MS‑DRG 897 in 2024?
An average of $7,306 per discharge across 11,716 fee-for-service discharges at 502 hospitals, $85.6M in total.
Which state paid the most for MS‑DRG 897?
New Jersey, at $12,287 per case; New Mexico paid the least, $4,696.
Where do these figures come from?
From the Medicare Inpatient Hospitals - by Provider and Service (data year 2024): the published hospital-by-DRG averages of Medicare fee-for-service inpatient discharges in 2024. Cells with fewer than 11 discharges are not published, so a hospital with a handful of cases is not counted. Average Medicare payment excludes the patient’s deductible and coinsurance.