Alcohol, drug abuse or dependence with rehabilitation therapy in New Jersey
What 3 hospitals in New Jersey 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
$62,924
Hospital list price billed
Average payment
$15,308
Medicare + patient + other payers
Medicare paid
$13,765
Average per stay
State rank
#3 of 5
1 = lowest average payment
Hospitals in New Jersey billed an average of $62,924 for alcohol, drug abuse or dependence with rehabilitation therapy, about 4.1 times the average total payment of $15,308. That payment is 10% 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 $15,308Billed $62,924
About 24¢ was paid for every $1 hospitals in New Jersey billed for this stay.
New Jersey hospitals: alcohol, drug abuse or dependence with rehabilitation therapy
Every New Jersey hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Saint Clare's HospitalDenville | 29 | $23,296 | $15,013 | $13,256 |
| Carewell Health Medical CenterEast Orange | 29 | $33,917 | $13,582 | $12,513 |
| Heights University HospitalJersey City | 23 | $149,462 | $17,856 | $15,985 |
Lowest and highest payments in New Jersey
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
| Carewell Health Medical CenterEast Orange, NJ | $13,582 |
|---|---|
| Saint Clare's HospitalDenville, NJ | $15,013 |
| Heights University HospitalJersey City, NJ | $17,856 |
Highest
| Heights University HospitalJersey City, NJ | $17,856 |
|---|---|
| Saint Clare's HospitalDenville, NJ | $15,013 |
| Carewell Health Medical CenterEast Orange, NJ | $13,582 |
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 New Jersey?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence with rehabilitation therapy (DRG 895) at 3 hospitals in New Jersey was billed at $62,924 on average, while the average total payment was $15,308, of which Medicare paid $13,765. 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 New Jersey, average charges were 4.1 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.