Alcohol, drug abuse or dependence with rehabilitation therapy in Wisconsin
What 1 hospital in Wisconsin 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
$11,123
Hospital list price billed
Average payment
$11,968
Medicare + patient + other payers
Medicare paid
$10,711
Average per stay
Volume
13
Medicare hospital stays
Hospitals in Wisconsin billed an average of $11,123 for alcohol, drug abuse or dependence with rehabilitation therapy, about 0.9 times the average total payment of $11,968. That payment is 14% 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 $11,968Billed $11,123
About 108¢ was paid for every $1 hospitals in Wisconsin billed for this stay.
Wisconsin hospitals: alcohol, drug abuse or dependence with rehabilitation therapy
Every Wisconsin 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 Elizabeth HsptlAppleton | 13 | $11,123 | $11,968 | $10,711 |
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 Wisconsin?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence with rehabilitation therapy (DRG 895) at 1 hospital in Wisconsin was billed at $11,123 on average, while the average total payment was $11,968, of which Medicare paid $10,711. 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 Wisconsin, average charges were 0.9 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.