Alcohol, drug abuse or dependence without rehabilitation therapy with major complications in California
What 24 hospitals in California 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
$119,548
Hospital list price billed
Average payment
$21,887
Medicare + patient + other payers
Medicare paid
$19,217
Average per stay
State rank
#17 of 20
1 = lowest average payment
Hospitals in California billed an average of $119,548 for alcohol, drug abuse or dependence without rehabilitation therapy with major complications, about 5.5 times the average total payment of $21,887. That payment is 19% above the U.S. average 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 $21,887Billed $119,548
About 18¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in California:
California hospitals: alcohol, drug abuse or dependence without rehabilitation therapy with major complications
Every California 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 Joseph HospitalEureka | 26 | $104,682 | $19,215 | $17,835 |
| Stanford HospitalPalo Alto | 25 | $219,593 | $28,784 | $24,417 |
| Sutter Roseville Medical CenterRoseville | 22 | $91,788 | $18,472 | $17,055 |
| Dominican HospitalSanta Cruz | 21 | $116,705 | $18,327 | $17,549 |
| Santa Rosa Memorial HospitalSanta Rosa | 18 | $133,751 | $20,619 | $17,567 |
| San Francisco General HospitalSan Francisco | 18 | $166,442 | $41,136 | $38,071 |
| Grossmont HospitalLa Mesa | 17 | $79,297 | $22,038 | $15,646 |
| Hollywood Community Hospital of HollywoodLos Angeles | 17 | $58,140 | $17,595 | $16,275 |
| Scripps Mercy HospitalSan Diego | 16 | $88,394 | $20,028 | $18,578 |
| Ventura County Medical CenterVentura | 16 | $97,583 | $21,109 | $19,330 |
| Scripps Memorial Hospital la JollaLa Jolla | 16 | $97,570 | $19,251 | $14,713 |
| Palomar Medical CenterEscondido | 15 | $119,768 | $16,633 | $15,645 |
| Los Robles Hospital & Medical CenterThousand Oaks | 15 | $164,356 | $16,427 | $14,902 |
| Community Hospital of the Monterey PeninsulaMonterey | 14 | $125,931 | $19,463 | $18,064 |
| Mercy Medical Center ReddingRedding | 14 | $123,738 | $19,144 | $17,715 |
| Santa Barbara Cottage HospitalSanta Barbara | 14 | $63,505 | $18,420 | $16,859 |
| University of California San Diego Medical CenterSan Diego | 13 | $104,928 | $29,768 | $20,585 |
| St Johns Regional Medical CenterOxnard | 13 | $110,035 | $20,246 | $15,322 |
| Marian Medical CenterSanta Maria | 13 | $70,543 | $16,795 | $15,400 |
| Regional Medical Center of San JoseSan Jose | 12 | $347,255 | $21,032 | $19,978 |
| UCSF Medical CenterSan Francisco | 12 | $157,664 | $31,036 | $24,896 |
| Oroville HospitalOroville | 11 | $44,048 | $17,159 | $15,972 |
| Community Regional Medical CenterFresno | 11 | $79,572 | $19,310 | $17,718 |
| Los Angeles General Medical CenterLos Angeles | 11 | $63,019 | $33,293 | $29,737 |
Lowest and highest payments in California
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
| Los Robles Hospital & Medical CenterThousand Oaks, CA | $16,427 |
|---|---|
| Palomar Medical CenterEscondido, CA | $16,633 |
| Marian Medical CenterSanta Maria, CA | $16,795 |
| Oroville HospitalOroville, CA | $17,159 |
| Hollywood Community Hospital of HollywoodLos Angeles, CA | $17,595 |
Highest
| San Francisco General HospitalSan Francisco, CA | $41,136 |
|---|---|
| Los Angeles General Medical CenterLos Angeles, CA | $33,293 |
| UCSF Medical CenterSan Francisco, CA | $31,036 |
| University of California San Diego Medical CenterSan Diego, CA | $29,768 |
| Stanford HospitalPalo Alto, CA | $28,784 |
Alcohol, drug abuse or dependence without rehabilitation therapy with major complications in other states
Questions
How much does alcohol, drug abuse or dependence without rehabilitation therapy with major complications cost in California?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy with major complications (DRG 896) at 24 hospitals in California was billed at $119,548 on average, while the average total payment was $21,887, of which Medicare paid $19,217. 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 California, average charges were 5.5 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.