Alcohol, drug abuse or dependence with rehabilitation therapy in California
What 5 hospitals in California 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
$30,874
Hospital list price billed
Average payment
$16,868
Medicare + patient + other payers
Medicare paid
$15,199
Average per stay
State rank
#4 of 5
1 = lowest average payment
Hospitals in California billed an average of $30,874 for alcohol, drug abuse or dependence with rehabilitation therapy, about 1.8 times the average total payment of $16,868. That payment is 21% above the U.S. average 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 $16,868Billed $30,874
About 55¢ was paid for every $1 hospitals in California billed for this stay.
California hospitals: alcohol, drug abuse or dependence with rehabilitation therapy
Every California hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Hemet Valley Medical CenterHemet | 80 | $20,439 | $18,993 | $16,338 |
| Hollywood Community Hospital of HollywoodLos Angeles | 77 | $40,543 | $16,843 | $16,085 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 61 | $26,809 | $15,014 | $13,604 |
| Menifee Valley Medical CenterSun City | 25 | $32,149 | $15,656 | $13,508 |
| Providence Little Co of Mary Med Ctr San PedroLos Angeles | 20 | $46,197 | $15,633 | $14,216 |
Lowest and highest payments in California
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $15,014 |
|---|---|
| Providence Little Co of Mary Med Ctr San PedroLos Angeles, CA | $15,633 |
| Menifee Valley Medical CenterSun City, CA | $15,656 |
| Hollywood Community Hospital of HollywoodLos Angeles, CA | $16,843 |
| Hemet Valley Medical CenterHemet, CA | $18,993 |
Highest
| Hemet Valley Medical CenterHemet, CA | $18,993 |
|---|---|
| Hollywood Community Hospital of HollywoodLos Angeles, CA | $16,843 |
| Menifee Valley Medical CenterSun City, CA | $15,656 |
| Providence Little Co of Mary Med Ctr San PedroLos Angeles, CA | $15,633 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $15,014 |
Alcohol, drug abuse or dependence with rehabilitation therapy in other states
Questions
How much does alcohol, drug abuse or dependence with rehabilitation therapy cost in California?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence with rehabilitation therapy (DRG 895) at 5 hospitals in California was billed at $30,874 on average, while the average total payment was $16,868, of which Medicare paid $15,199. Your own cost depends on your insurance, deductible and the hospital.
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 California, average charges were 1.8 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.