Alcohol, drug abuse or dependence, left against medical advice
What 31 hospitals in the U.S. charged and were paid for a Medicare hospital stay for alcohol, drug abuse or dependence, left against medical advice (DRG 894), from 2024 Medicare claims.
Average charge
$14,844
Hospital list price billed
Average payment
$6,948
Medicare + patient + other payers
Medicare paid
$5,528
Average per stay
Volume
730
Medicare hospital stays
Hospitals in the U.S. billed an average of $14,844 for alcohol, drug abuse or dependence, left against medical advice, about 2.1 times the average total payment of $6,948.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $6,948Billed $14,844
About 47¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Brighton HospitalBrighton, MI | $3,851 |
|---|---|
| Turning Point HospitalMoultrie, GA | $3,870 |
| Adcare Hospital of Worcester INCWorcester, MA | $5,344 |
| South Shore HospitalChicago, IL | $5,413 |
| Berkshire Medical Center INCPittsfield, MA | $6,444 |
| Hollywood Community Hospital of HollywoodLos Angeles, CA | $6,577 |
| St John's Riverside HospitalYonkers, NY | $6,863 |
| St Charles HospitalPort Jefferson, NY | $7,688 |
| Mount Sinai WestNew York, NY | $8,436 |
| Flushing Hospital Medical CenterNew York, NY | $8,483 |
Highest
| St Barnabas HospitalBronx, NY | $16,186 |
|---|---|
| Bronxcare Hospital CenterBronx, NY | $14,525 |
| Flushing Hospital Medical CenterNew York, NY | $8,483 |
| Mount Sinai WestNew York, NY | $8,436 |
| St Charles HospitalPort Jefferson, NY | $7,688 |
| St John's Riverside HospitalYonkers, NY | $6,863 |
| Hollywood Community Hospital of HollywoodLos Angeles, CA | $6,577 |
| Berkshire Medical Center INCPittsfield, MA | $6,444 |
| South Shore HospitalChicago, IL | $5,413 |
| Adcare Hospital of Worcester INCWorcester, MA | $5,344 |
Alcohol, drug abuse or dependence, left against medical advice cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| California | 3 | $35,499 | $7,139 | $6,460 – $8,984 |
| Georgia | 1 | $7,200 | $3,870 | – |
| Idaho | 1 | $13,414 | $4,921 | – |
| Illinois | 1 | $18,758 | $5,413 | – |
| Maryland | 1 | $4,949 | $4,339 | – |
| Massachusetts | 5 | $6,348 | $5,749 | $4,873 – $7,890 |
| Michigan | 2 | $8,123 | $4,166 | $3,851 – $5,045 |
| New York | 13 | $20,293 | $9,411 | $5,310 – $16,447 |
| North Carolina | 1 | $3,400 | $4,162 | – |
| Pennsylvania | 1 | $21,491 | $4,105 | – |
| Texas | 2 | $14,012 | $7,003 | $6,945 – $7,055 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adcare Hospital of Worcester INCWorcester, MA | 143 | $4,214 | $5,344 |
| St John's Riverside HospitalYonkers, NY | 45 | $9,782 | $6,863 |
| Berkshire Medical Center INCPittsfield, MA | 42 | $7,128 | $6,444 |
| Brighton HospitalBrighton, MI | 39 | $6,018 | $3,851 |
| South Shore HospitalChicago, IL | 35 | $18,758 | $5,413 |
| Flushing Hospital Medical CenterNew York, NY | 33 | $7,039 | $8,483 |
| Hollywood Community Hospital of HollywoodLos Angeles, CA | 27 | $25,342 | $6,577 |
| St Barnabas HospitalBronx, NY | 27 | $11,372 | $16,186 |
| Bronxcare Hospital CenterBronx, NY | 21 | $14,499 | $14,525 |
| Turning Point HospitalMoultrie, GA | 20 | $7,200 | $3,870 |
| Mount Sinai WestNew York, NY | 20 | $30,606 | $8,436 |
| St Charles HospitalPort Jefferson, NY | 20 | $51,280 | $7,688 |
| Nassau University Medical CenterEast Meadow, NY | 17 | $16,339 | $9,940 |
| St Peter's HospitalAlbany, NY | 17 | $12,757 | $5,310 |
| Erie County Medical CenterBuffalo, NY | 17 | $12,241 | $7,237 |
Questions
How much does alcohol, drug abuse or dependence, left against medical advice cost in the U.S.?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence, left against medical advice (DRG 894) at 31 hospitals in the U.S. was billed at $14,844 on average, while the average total payment was $6,948, of which Medicare paid $5,528. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for alcohol, drug abuse or dependence, left against medical advice?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($9,411), California ($7,139), Massachusetts ($5,749) and lowest in Massachusetts ($5,749), California ($7,139), New York ($9,411).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 2.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.