facebook tracking Alcohol, drug abuse or dependence with rehabilitation therapy cost in New York: 18 hospitals compared (DRG 895)

Alcohol, drug abuse or dependence with rehabilitation therapy in New York

What 18 hospitals in New York charged and were paid for a Medicare hospital stay for alcohol, drug abuse or dependence with rehabilitation therapy (DRG 895), from 2024 Medicare claims.

DRG 895 Inpatient 2024 Medicare data
Average charge $86,118 Hospital list price billed
Average payment $17,025 Medicare + patient + other payers
Medicare paid $13,646 Average per stay
State rank #5 of 5 1 = lowest average payment

Hospitals in New York billed an average of $86,118 for alcohol, drug abuse or dependence with rehabilitation therapy, about 5.1 times the average total payment of $17,025. That payment is 22% 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 $17,025Billed $86,118

About 20¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: alcohol, drug abuse or dependence with rehabilitation therapy

Every New York hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
St Charles HospitalPort Jefferson 136 $90,867 $14,452 $12,879
St John's Riverside HospitalYonkers 62 $40,691 $17,183 $13,778
Westchester Medical CenterValhalla 38 $150,433 $19,004 $13,772
St Peter's HospitalAlbany 30 $36,776 $12,385 $9,633
Beth Israel Medical CenterNew York 28 $85,696 $20,903 $15,727
Mount St Mary's Hospital and Health CenterLewiston 27 $57,937 $14,193 $11,988
St Joseph's Medical CenterYonkers 26 $22,846 $21,142 $17,091
University HospitalStony Brook 26 $261,262 $29,073 $19,156
Nyack HospitalNyack 24 $98,120 $13,744 $12,724
Clifton Springs Hospital and ClinicClifton Springs 19 $30,599 $13,379 $11,123
Bon Secours Community HospitalPort Jervis 18 $136,845 $14,043 $13,137
Sisters of Charity HospitalBuffalo 17 $61,416 $20,977 $12,559
Phelps Memorial Hospital AssnSleepy Hollow 17 $140,913 $18,519 $14,299
Brooklyn Hospital Center at Downtown CampusBrooklyn 16 $45,267 $23,404 $19,617
Unity Hospital of RochesterRochester 14 $57,594 $14,327 $11,438
Crouse HospitalSyracuse 12 $26,238 $14,341 $11,664
Mount Sinai WestNew York 11 $151,945 $24,333 $17,706
Canton-Potsdam HospitalPotsdam 11 $37,093 $12,340 $10,598
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Lowest and highest payments in New York

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

Canton-Potsdam HospitalPotsdam, NY$12,340
St Peter's HospitalAlbany, NY$12,385
Clifton Springs Hospital and ClinicClifton Springs, NY$13,379
Nyack HospitalNyack, NY$13,744
Bon Secours Community HospitalPort Jervis, NY$14,043

Highest

University HospitalStony Brook, NY$29,073
Mount Sinai WestNew York, NY$24,333
Brooklyn Hospital Center at Downtown CampusBrooklyn, NY$23,404
St Joseph's Medical CenterYonkers, NY$21,142
Sisters of Charity HospitalBuffalo, NY$20,977

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 York?

In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence with rehabilitation therapy (DRG 895) at 18 hospitals in New York was billed at $86,118 on average, while the average total payment was $17,025, of which Medicare paid $13,646. 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 York, average charges were 5.1 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.