Alcohol, drug abuse or dependence with rehabilitation therapy in Illinois
What 2 hospitals in Illinois 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
$41,094
Hospital list price billed
Average payment
$13,280
Medicare + patient + other payers
Medicare paid
$11,781
Average per stay
Volume
81
Medicare hospital stays
Hospitals in Illinois billed an average of $41,094 for alcohol, drug abuse or dependence with rehabilitation therapy, about 3.1 times the average total payment of $13,280. That payment is 5% below 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 $13,280Billed $41,094
About 32¢ was paid for every $1 hospitals in Illinois billed for this stay.
Illinois hospitals: alcohol, drug abuse or dependence with rehabilitation therapy
Every Illinois hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| South Shore HospitalChicago | 69 | $43,317 | $12,724 | $11,614 |
| Saint Joseph HospitalChicago | 12 | $28,308 | $16,473 | $12,744 |
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 Illinois?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence with rehabilitation therapy (DRG 895) at 2 hospitals in Illinois was billed at $41,094 on average, while the average total payment was $13,280, of which Medicare paid $11,781. 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 Illinois, average charges were 3.1 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.