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