ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC
Medicare inpatient claims for MS-DRG 897. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 897?
MS-DRG 897 is the Medicare Severity Diagnosis-Related Group for ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC. When a Medicare patient is discharged, the hospital stay is grouped into a single MS-DRG, and Medicare reimburses the hospital a fixed, predetermined amount for that group rather than itemizing each service.
Across the CMS Medicare Inpatient Hospitals by Provider dataset, 622 hospitals reported 23,996 discharges for MS-DRG 897. The average hospital submitted charge was $37K, while the average amount Medicare actually paid was $7K — a 5.4× gap between list price and reimbursement, which is typical for Medicare inpatient claims.