facebook tracking Alcohol, drug abuse or dependence without rehabilitation therapy with major complications cost in Indiana: 1 hospitals compared (DRG 896)

Alcohol, drug abuse or dependence without rehabilitation therapy with major complications in Indiana

What 1 hospital in Indiana 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.

DRG 896 Inpatient 2024 Medicare data
Average charge $36,708 Hospital list price billed
Average payment $13,077 Medicare + patient + other payers
Medicare paid $11,271 Average per stay
Volume 17 Medicare hospital stays

Hospitals in Indiana billed an average of $36,708 for alcohol, drug abuse or dependence without rehabilitation therapy with major complications, about 2.8 times the average total payment of $13,077. That payment is 29% below 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 $13,077Billed $36,708

About 36¢ was paid for every $1 hospitals in Indiana billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Indiana:

Indiana hospitals: alcohol, drug abuse or dependence without rehabilitation therapy with major complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Parkview HospitalFort Wayne 17 $36,708 $13,077 $11,271
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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 Indiana?

In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy with major complications (DRG 896) at 1 hospital in Indiana was billed at $36,708 on average, while the average total payment was $13,077, of which Medicare paid $11,271. 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 Indiana, average charges were 2.8 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.