Acute Adjustment Reaction and Psychosocial Dysfunction — what U.S. hospitals charge

MS-DRG 880 · Inpatient stay · 69 U.S. hospitals publish a price

Cheapest quarter

under $28,321

Typical charge

$41,092

Dearest quarter

over $61,993

Actually paid

$10,503

The middle U.S. hospital bills $41,092 for Acute Adjustment Reaction and Psychosocial Dysfunction. The dearest hospitals charge about 4.1x what the cheapest do for the same coded work. Medicare actually paid about $10,503 per case.

These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.

Acute Adjustment Reaction and Psychosocial Dysfunction cost by state

The middle charge in each state where at least three hospitals publish a price, cheapest first.

State	Hospitals	Typical charge	Range
Massachusetts	11	$26,681	$15,964 – $85,030
Ohio	5	$30,032	$17,914 – $56,097
Alabama	3	$37,419	$28,321 – $61,993
Pennsylvania	3	$45,498	$35,158 – $77,861
Florida	9	$55,750	$29,579 – $101,761
Texas	5	$79,105	$33,434 – $97,399
California	4	$84,561	$58,364 – $108,643
New York	4	$90,499	$56,948 – $113,301

Where Acute Adjustment Reaction and Psychosocial Dysfunction is charged least

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital	Charged	Actually paid
Adventist Healthcare Shady Grove Medical Center Rockville, MD	$9,399	$8,306
Meritus Medical Center Hagerstown, MD	$10,945	$10,173
South Shore Hospital South Weymouth, MA	$15,964	$7,891
Northeast Hospital Corporation Beverly, MA	$17,613	$7,993
University Of Cincinnati Medical Center, Llc Cincinnati, OH	$17,914	$10,877
Emory University Hospital Atlanta, GA	$18,252	$13,228
Northwest Community Hospital 1 Arlington Heights, IL	$19,919	$8,970
Baystate Medical Center Springfield, MA	$21,021	$10,147
Newton-Wellesley Hospital Newton, MA	$21,698	$9,286
Beaumont Hospital Royal Oak Royal Oak, MI	$23,092	$8,337
Lahey Hospital & Medical Center, Burlington Burlington, MA	$24,337	$11,052
Mercy Hospital Springfield Springfield, MO	$24,958	$7,631

Where it is charged most

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital	Charged	Actually paid
Long Island Jewish Medical Center New Hyde Park, NY	$113,301	$13,419
Loma Linda University Medical Center Loma Linda, CA	$108,643	$19,483
Los Robles Hospital & Medical Center Thousand Oaks, CA	$105,224	$10,085
Hca Florida North Florida Hospital Gainesville, FL	$101,761	$8,218
Hca Houston Healthcare Kingwood Kingwood, TX	$97,399	$8,724
North Shore University Hospital Manhasset, NY	$94,129	$12,345
New York-Presbyterian Hospital New York, NY	$86,868	$12,766
Massachusetts General Hospital Boston, MA	$85,030	$19,159
Wesley Medical Center Wichita, KS	$82,288	$7,987
Medical City Fort Worth Fort Worth, TX	$80,523	$9,221
Umass Memorial Medical Center/University Campus Worcester, MA	$80,164	$17,670
Hca Florida Memorial Hospital Jacksonville, FL	$79,569	$8,492

Questions people ask

What do U.S. hospitals charge for Acute Adjustment Reaction and Psychosocial Dysfunction?

Across 69 U.S. hospitals, the middle charge for Acute Adjustment Reaction and Psychosocial Dysfunction is $41,092. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $28,321 and the dearest quarter over $61,993.

Why do hospitals charge such different amounts for the same procedure?

Because a hospital charge is a list price it sets itself, not a regulated rate. For Acute Adjustment Reaction and Psychosocial Dysfunction, the hospitals in the dearest tenth charge about 4.1x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.

Is that what I would actually pay?

No. $10,503 is roughly what Medicare actually paid per case, against an average charge of $47,944. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.

What this code covers

CMS records this work as MS-DRG 880: “ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.

Related procedures

Psychoses typically $36,077
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major typically $32,548
Cirrhosis and Alcoholic Hepatitis with Major Complications typically $79,965
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy typically $35,049
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications typically $65,597
Cirrhosis and Alcoholic Hepatitis with Complications typically $45,765
Alcohol, Drug Abuse or Dependence, Left Ama typically $13,988

Before you are billed

Ask for a written good-faith estimate — you are entitled to one if you are uninsured or paying yourself.
Check the hospital's machine-readable price file; every U.S. hospital must publish one.
If you are insured, ask whether every provider involved is in network — the surprise usually comes from the ones you never met.

Read the guides →