Alcohol, drug abuse or dependence without rehabilitation therapy with major complications in Maine
What 2 hospitals in Maine 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
$65,992
Hospital list price billed
Average payment
$16,006
Medicare + patient + other payers
Medicare paid
$13,826
Average per stay
Volume
33
Medicare hospital stays
Hospitals in Maine billed an average of $65,992 for alcohol, drug abuse or dependence without rehabilitation therapy with major complications, about 4.1 times the average total payment of $16,006. That payment is 13% 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 $16,006Billed $65,992
About 24¢ was paid for every $1 hospitals in Maine billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Maine:
Maine hospitals: alcohol, drug abuse or dependence without rehabilitation therapy with major complications
Every Maine hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Maine Medical CenterPortland | 20 | $63,999 | $17,480 | $14,444 |
| Eastern Maine Medical CenterBangor | 13 | $69,060 | $13,738 | $12,874 |
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 Maine?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy with major complications (DRG 896) at 2 hospitals in Maine was billed at $65,992 on average, while the average total payment was $16,006, of which Medicare paid $13,826. 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 Maine, average charges were 4.1 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.