MS-DRG 897 Fee Schedule
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.
| 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 897 by major payers:
$7,048.32
$12,863.21
$13,960.81
$14,283.29
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for MS-DRG 897 | ||||||
United | 897 | $18834.08 | 1730694308 - CATHOLIC HEALTH INIATIVES COLORADO, ST THOMAS MORE HOSPITAL | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | CO | Critical Access Hospital (282NC0060X) |
United | 897 | $7800.41 | 1073200309 - PECOS COUNTY MEMORIAL HOSPITAL DISTRICT | 921628671 | TX | Critical Access Hospital (282NC0060X) |
United | 897 | $8025.20 | 1881654259 - BAPTIST HEALTHCARE SYSTEM INC, BAPTIST HEALTH CORBIN | 610444707 - BAPTIST HEALTHCARE SYSTEM INC | KY | Psychiatric Hospital Unit (273R00000X) |
United | 897 | $18673.47 | 1609954395 - CARONDELET HEALTH NETWORK, CARONDELET OREILLY CARE CENTER | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 897 | $10403.00 | 1508835828 - THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO | 310537486 - (OH) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995 | OH | General Acute Care Hospital (282N00000X) |
United | 897 | $13218.13 | 1720056138 - JEFFERSON REGIONAL MEDICAL CENTER, JEFFERSON HOSPITAL COUNSELING SERVICES | 251260215 - (PA) HIGHMARK HEALTH | PA | Psychiatric Hospital Unit (273R00000X) |
United | 897 | $13660.87 | 1487251401 - USC VERDUGO HILLS HOSPITAL | 851634852 - (CA) USC VERDUGO HILLS HOSPITAL | CA | Psychiatric Hospital Unit (273R00000X) |
United | 897 | $6500.52 | 1821087164 - LUBBOCK COUNTY HOSPITAL DISTRICT, UNIVERSITY MEDICAL CENTER | 751301362 - LUBBOCK COUNTY HOSPITAL DISTRICT | TX | General Acute Care Hospital (282N00000X) |
United | 897 | $12065.84 | 1497843940 - BAPTIST HEALTH SYSTEM INC, WALKER BAPTIST MEDICAL CENTER | 474790386 | AL | General Acute Care Hospital (282N00000X) |
United | 897 | $13473.83 | 1932190626 - PROVIDENCE HOSPITAL, PROVIDENCE HOSPITAL URGENT CARE CENTER | 530196636 - PROVIDENCE HOSPITAL | DC | General Acute Care Hospital (282N00000X) |
United | 897 | $12106.42 | 1902474430 - FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, FROEDTERT COMMUNITY HOSPITAL | 843381796 | WI | General Acute Care Hospital (282N00000X) |
United | 897 | $3856.97 | 1295716637 - HOSPITAL SERVICE DIST. NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LA, ST. CHARLES PARISH HOSPITAL | 726014606 | LA | General Acute Care Hospital (282N00000X) |
United | 897 | $19260.18 | 1568492916 - INDIANA UNIVERSITY HEALTH NORTH HOSPITAL INC, IU HEALTH NORTH HOSPITAL | 351932442 - (IN) INDIANA UNIVERSITY HEALTH NORTH HOSPITAL INC | IN | General Acute Care Hospital (282N00000X) |
United | 897 | $5148.00 | 1215981303 - VICKSBURG HEALTHCARE LLC, MERIT HEALTH RIVER REGION | 621752111 - (MS) VICKSBURG HEALTHCARE LLC | MS | General Acute Care Hospital (282N00000X) |
United | 897 | $48616.89 | 1407016793 - DOCTORS MEDICAL CENTER, DOCTORS BEHAVIORAL HEALTH | 952588614 | CA | Psychiatric Hospital (283Q00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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MS-DRG 897 vs. Other Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders Codes
The MS-DRG 897 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 897 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 |
|---|---|---|
| 896-APR-DRG | Moderate | Major Cranial Or Facial Bone Procedures |
| 896-MS-DRG | High | Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC |
| 897-MS-DRG | High | Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 897. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 897 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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