Alcohol, drug abuse or dependence with rehabilitation therapy in Massachusetts
What 4 hospitals in Massachusetts 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
$15,640
Hospital list price billed
Average payment
$14,520
Medicare + patient + other payers
Medicare paid
$13,292
Average per stay
State rank
#2 of 5
1 = lowest average payment
Hospitals in Massachusetts billed an average of $15,640 for alcohol, drug abuse or dependence with rehabilitation therapy, about 1.1 times the average total payment of $14,520. That payment is 4% 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 $14,520Billed $15,640
About 93¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Massachusetts hospitals: alcohol, drug abuse or dependence with rehabilitation therapy
Every Massachusetts hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Adcare Hospital of Worcester INCWorcester | 676 | $16,663 | $13,997 | $12,930 |
| Berkshire Medical Center INCPittsfield | 75 | $8,686 | $17,032 | $15,255 |
| Boston Medical Center-BrightonBrighton | 51 | $13,435 | $18,264 | $15,743 |
| Morton Hospital & Medical CenterTaunton | 14 | $11,484 | $12,636 | $11,325 |
Lowest and highest payments in Massachusetts
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
| Morton Hospital & Medical CenterTaunton, MA | $12,636 |
|---|---|
| Adcare Hospital of Worcester INCWorcester, MA | $13,997 |
| Berkshire Medical Center INCPittsfield, MA | $17,032 |
| Boston Medical Center-BrightonBrighton, MA | $18,264 |
Highest
| Boston Medical Center-BrightonBrighton, MA | $18,264 |
|---|---|
| Berkshire Medical Center INCPittsfield, MA | $17,032 |
| Adcare Hospital of Worcester INCWorcester, MA | $13,997 |
| Morton Hospital & Medical CenterTaunton, MA | $12,636 |
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 Massachusetts?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence with rehabilitation therapy (DRG 895) at 4 hospitals in Massachusetts was billed at $15,640 on average, while the average total payment was $14,520, of which Medicare paid $13,292. 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 Massachusetts, average charges were 1.1 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.