Alcohol, drug abuse or dependence without rehabilitation therapy with major complications
What 188 hospitals in the U.S. charged and were paid for a Medicare hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy with major complications (DRG 896), from 2024 Medicare claims.
Average charge
$80,479
Hospital list price billed
Average payment
$18,325
Medicare + patient + other payers
Medicare paid
$15,247
Average per stay
Volume
2,956
Medicare hospital stays
Hospitals in the U.S. billed an average of $80,479 for alcohol, drug abuse or dependence without rehabilitation therapy with major complications, about 4.4 times the average total payment of $18,325.
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 $18,325Billed $80,479
About 23¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Sarasota Memorial HospitalSarasota, FL | $12,133 |
|---|---|
| Saint Francis Hospital, INCTulsa, OK | $12,780 |
| Methodist HospitalSan Antonio, TX | $13,235 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $13,851 |
| Orlando Regional HealthcareOrlando, FL | $13,865 |
| Adventhealth OrlandoOrlando, FL | $14,000 |
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $14,659 |
| Grand Strand Reg Med CenterMyrtle Beach, SC | $14,833 |
| Presbyterian HospitalAlbuquerque, NM | $14,869 |
| Sunrise Hospital and Medical CenterLas Vegas, NV | $15,126 |
Highest
| Stanford HospitalPalo Alto, CA | $28,784 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $26,725 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $26,620 |
| Umass Memorial Medical Center INCWorcester, MA | $26,434 |
| Massachusetts General HospitalBoston, MA | $24,660 |
| Yale-New Haven HospitalNew Haven, CT | $23,623 |
| Baystate Medical CenterSpringfield, MA | $20,011 |
| Berkshire Medical Center INCPittsfield, MA | $19,461 |
| St Joseph HospitalEureka, CA | $19,215 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $18,924 |
Alcohol, drug abuse or dependence without rehabilitation therapy with major complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alaska | 2 | $131,585 | $23,503 | $21,800 – $25,064 |
| California | 24 | $119,548 | $21,887 | $16,427 – $41,136 |
| Colorado | 4 | $82,065 | $16,727 | $12,729 – $24,631 |
| Connecticut | 6 | $60,167 | $21,958 | $16,942 – $26,800 |
| Delaware | 1 | $42,211 | $16,439 | – |
| Florida | 20 | $84,584 | $14,019 | $11,412 – $21,325 |
| Georgia | 2 | $71,620 | $22,674 | $15,585 – $28,751 |
| Idaho | 1 | $122,005 | $20,690 | – |
| Illinois | 7 | $62,204 | $16,941 | $12,830 – $21,328 |
| Indiana | 1 | $36,708 | $13,077 | – |
| Kansas | 2 | $110,185 | $14,816 | $14,317 – $15,406 |
| Kentucky | 1 | $62,615 | $12,807 | – |
| Maine | 2 | $65,992 | $16,006 | $13,738 – $17,480 |
| Maryland | 4 | $24,974 | $22,295 | $14,762 – $32,122 |
| Massachusetts | 17 | $43,241 | $19,188 | $14,367 – $27,716 |
| Michigan | 6 | $53,785 | $15,498 | $13,753 – $16,959 |
| Minnesota | 12 | $60,831 | $17,606 | $13,102 – $26,620 |
| Missouri | 3 | $61,020 | $16,196 | $12,874 – $22,603 |
| Nebraska | 2 | $51,800 | $16,254 | $12,865 – $19,951 |
| Nevada | 6 | $121,018 | $16,324 | $14,703 – $17,903 |
| New Hampshire | 1 | $66,806 | $22,187 | – |
| New Jersey | 8 | $111,283 | $18,311 | $15,196 – $25,183 |
| New Mexico | 2 | $42,921 | $17,015 | $14,869 – $22,866 |
| New York | 15 | $127,983 | $25,411 | $16,604 – $49,076 |
| North Carolina | 3 | $59,915 | $14,616 | $13,851 – $16,681 |
| North Dakota | 2 | $38,621 | $14,792 | $14,789 – $14,796 |
| Ohio | 3 | $44,033 | $15,105 | $13,330 – $17,359 |
| Oklahoma | 2 | $39,120 | $13,054 | $12,780 – $13,603 |
| Oregon | 2 | $38,606 | $18,041 | $17,856 – $18,294 |
| Pennsylvania | 4 | $65,886 | $16,436 | $14,940 – $21,223 |
| Rhode Island | 2 | $75,699 | $25,362 | $17,004 – $33,720 |
| South Carolina | 4 | $89,101 | $13,883 | $11,879 – $14,833 |
| Texas | 5 | $77,687 | $13,587 | $12,122 – $15,785 |
| Virginia | 1 | $257,223 | $12,205 | – |
| Washington | 7 | $100,117 | $17,454 | $13,837 – $30,420 |
| Wisconsin | 3 | $65,146 | $19,223 | $11,990 – $25,552 |
| Wyoming | 1 | $37,621 | $16,449 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 46 | $79,861 | $14,000 |
| Umass Memorial Medical Center INCWorcester, MA | 39 | $81,000 | $26,434 |
| South Shore HospitalSouth Weymouth, MA | 37 | $30,341 | $18,509 |
| Union HospitalLynn, MA | 34 | $44,293 | $16,436 |
| Christiana Care Health Services, INC.Newark, DE | 33 | $42,211 | $16,439 |
| Southcoast Hospital Group, INCFall River, MA | 31 | $46,955 | $18,275 |
| Yale-New Haven HospitalNew Haven, CT | 30 | $47,078 | $23,623 |
| Presbyterian HospitalAlbuquerque, NM | 30 | $40,786 | $14,869 |
| Cape Cod HospitalHyannis, MA | 29 | $28,069 | $18,369 |
| Berkshire Medical Center INCPittsfield, MA | 28 | $25,863 | $19,461 |
| Massachusetts General HospitalBoston, MA | 28 | $106,897 | $24,660 |
| Renown Regional Medical CenterReno, NV | 28 | $61,220 | $17,903 |
| St Joseph HospitalEureka, CA | 26 | $104,682 | $19,215 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | 26 | $57,644 | $13,851 |
| Stanford HospitalPalo Alto, CA | 25 | $219,593 | $28,784 |
Questions
How much does alcohol, drug abuse or dependence without rehabilitation therapy with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy with major complications (DRG 896) at 188 hospitals in the U.S. was billed at $80,479 on average, while the average total payment was $18,325, of which Medicare paid $15,247. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for alcohol, drug abuse or dependence without rehabilitation therapy with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($25,411), Maryland ($22,295), Connecticut ($21,958) and lowest in Texas ($13,587), South Carolina ($13,883), Florida ($14,019).
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 the U.S., average charges were 4.4 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.