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See a sample rate comparisonMS-DRG 895 Fee Schedule
Last Verified: October 2026
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.
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY
| Key Fact | Detail |
|---|---|
| Service Type | Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 895 by major payers:
$12,388.38
$19,770.53
$22,969.26
$22,622.47
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MS-DRG 895
5 of 25 sample ratesHigher to lower in this preview
Fountain Valley Regional Hospital & Medical Center, Fountain Valley Regional Hospital
$34,890.05Published rateHialeah Hospital Inc., Hialeah Hospital
$26,765.88Published rateSt Joseph Health Services Of Ri, Hospitalist Group
$18,314.73Published rateGreene Memorial Hospital Inc, Kettering Health Greene Memorial
Greene Memorial Hospital Inc
$10,628.08Published rateMountain States Health Alliance, Johnson City Medical Center
Mountain States Health Alliance
$3,564.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 895 vs. Other Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders Codes
The MS-DRG 895 code is part of the Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders 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 895 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 |
|---|---|---|
| 894-APR-DRG | High | HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND |
| 894-MS-DRG | High | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA |
| 895-MS-DRG | High | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY |
| 896-APR-DRG | Moderate | Major Cranial Or Facial Bone Procedures |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 895. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 895 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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