Alcohol, drug abuse or dependence with rehabilitation therapy
What 53 hospitals in the U.S. charged and were paid for a Medicare hospital stay for alcohol, drug abuse or dependence with rehabilitation therapy (DRG 895), from 2024 Medicare claims.
Average charge
$33,903
Hospital list price billed
Average payment
$13,914
Medicare + patient + other payers
Medicare paid
$12,280
Average per stay
Volume
3,333
Medicare hospital stays
Hospitals in the U.S. billed an average of $33,903 for alcohol, drug abuse or dependence with rehabilitation therapy, about 2.4 times the average total payment of $13,914.
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 $13,914Billed $33,903
About 41¢ 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 | $10,230 |
|---|---|
| Turning Point HospitalMoultrie, GA | $10,294 |
| Northeast Alabama Regional Med CenterAnniston, AL | $11,097 |
| Parkridge Medical CenterChattanooga, TN | $11,356 |
| Jewish HospitalLouisville, KY | $11,820 |
| Valley Forge Medical Center and HospitalNorristown, PA | $11,845 |
| FairbanksIndianapolis, IN | $12,274 |
| St Peter's HospitalAlbany, NY | $12,385 |
| Elmore Community HospitalWetumpka, AL | $12,566 |
| Clay County HospitalAshland, AL | $12,693 |
Highest
| University HospitalStony Brook, NY | $29,073 |
|---|---|
| St Joseph's Medical CenterYonkers, NY | $21,142 |
| Palm Springs General HospitalHialeah, FL | $21,080 |
| Beth Israel Medical CenterNew York, NY | $20,903 |
| Westchester Medical CenterValhalla, NY | $19,004 |
| Hemet Valley Medical CenterHemet, CA | $18,993 |
| Boston Medical Center-BrightonBrighton, MA | $18,264 |
| Heights University HospitalJersey City, NJ | $17,856 |
| St John's Riverside HospitalYonkers, NY | $17,183 |
| Berkshire Medical Center INCPittsfield, MA | $17,032 |
Alcohol, drug abuse or dependence with rehabilitation therapy 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 |
|---|---|---|---|---|
| Alabama | 4 | $12,471 | $12,327 | $11,097 – $13,812 |
| California | 5 | $30,874 | $16,868 | $15,014 – $18,993 |
| Colorado | 1 | $45,302 | $12,750 | – |
| Florida | 1 | $36,287 | $21,080 | – |
| Georgia | 1 | $14,289 | $10,294 | – |
| Illinois | 2 | $41,094 | $13,280 | $12,724 – $16,473 |
| Indiana | 1 | $12,313 | $12,274 | – |
| Kentucky | 1 | $15,409 | $11,820 | – |
| Massachusetts | 4 | $15,640 | $14,520 | $12,636 – $18,264 |
| Michigan | 1 | $15,236 | $10,230 | – |
| Minnesota | 1 | $58,831 | $12,143 | – |
| Nevada | 1 | $35,049 | $14,829 | – |
| New Jersey | 3 | $62,924 | $15,308 | $13,582 – $17,856 |
| New York | 18 | $86,118 | $17,025 | $12,340 – $29,073 |
| Ohio | 1 | $38,124 | $12,948 | – |
| Pennsylvania | 2 | $44,338 | $11,772 | $11,005 – $11,845 |
| Tennessee | 1 | $54,163 | $11,356 | – |
| Texas | 2 | $23,269 | $13,379 | $13,334 – $13,440 |
| Utah | 1 | $63,084 | $13,522 | – |
| Washington | 1 | $34,993 | $13,748 | – |
| Wisconsin | 1 | $11,123 | $11,968 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adcare Hospital of Worcester INCWorcester, MA | 676 | $16,663 | $13,997 |
| Turning Point HospitalMoultrie, GA | 448 | $14,289 | $10,294 |
| Valley Forge Medical Center and HospitalNorristown, PA | 189 | $46,370 | $11,845 |
| Dallas Medical CenterDallas, TX | 164 | $26,330 | $13,334 |
| Brighton HospitalBrighton, MI | 156 | $15,236 | $10,230 |
| St Charles HospitalPort Jefferson, NY | 136 | $90,867 | $14,452 |
| Crescent Medical Center LancasterLancaster, TX | 122 | $19,153 | $13,440 |
| Hemet Valley Medical CenterHemet, CA | 80 | $20,439 | $18,993 |
| Hollywood Community Hospital of HollywoodLos Angeles, CA | 77 | $40,543 | $16,843 |
| Glenbeigh Hosp & Outpat CtrRock Creek, OH | 76 | $38,124 | $12,948 |
| Berkshire Medical Center INCPittsfield, MA | 75 | $8,686 | $17,032 |
| South Shore HospitalChicago, IL | 69 | $43,317 | $12,724 |
| St John's Riverside HospitalYonkers, NY | 62 | $40,691 | $17,183 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | 61 | $26,809 | $15,014 |
| Boston Medical Center-BrightonBrighton, MA | 51 | $13,435 | $18,264 |
Questions
How much does alcohol, drug abuse or dependence with rehabilitation therapy cost in the U.S.?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence with rehabilitation therapy (DRG 895) at 53 hospitals in the U.S. was billed at $33,903 on average, while the average total payment was $13,914, of which Medicare paid $12,280. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for alcohol, drug abuse or dependence with rehabilitation therapy?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($17,025), California ($16,868), New Jersey ($15,308) and lowest in Alabama ($12,327), Massachusetts ($14,520), New Jersey ($15,308).
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 2.4 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.