Alcohol, drug abuse or dependence without rehabilitation therapy with major complications in Massachusetts
What 17 hospitals in Massachusetts 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
$43,241
Hospital list price billed
Average payment
$19,188
Medicare + patient + other payers
Medicare paid
$16,101
Average per stay
State rank
#15 of 20
1 = lowest average payment
Hospitals in Massachusetts billed an average of $43,241 for alcohol, drug abuse or dependence without rehabilitation therapy with major complications, about 2.3 times the average total payment of $19,188. That payment is 5% 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 $19,188Billed $43,241
About 44¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Massachusetts:
Massachusetts hospitals: alcohol, drug abuse or dependence without rehabilitation therapy with major complications
Every Massachusetts hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Umass Memorial Medical Center INCWorcester | 39 | $81,000 | $26,434 | $22,226 |
| South Shore HospitalSouth Weymouth | 37 | $30,341 | $18,509 | $12,278 |
| Union HospitalLynn | 34 | $44,293 | $16,436 | $15,087 |
| Southcoast Hospital Group, INCFall River | 31 | $46,955 | $18,275 | $13,783 |
| Cape Cod HospitalHyannis | 29 | $28,069 | $18,369 | $17,180 |
| Berkshire Medical Center INCPittsfield | 28 | $25,863 | $19,461 | $17,395 |
| Massachusetts General HospitalBoston | 28 | $106,897 | $24,660 | $18,585 |
| Baystate Medical CenterSpringfield | 25 | $32,221 | $20,011 | $17,095 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 24 | $29,309 | $14,659 | $13,367 |
| Faulkner HospitalBoston | 22 | $36,156 | $18,913 | $14,554 |
| Beverly Hospital CorporationBeverly | 19 | $28,477 | $14,735 | $13,682 |
| Boston Medical Center CorporationBoston | 16 | $41,044 | $27,716 | $24,433 |
| Morton Hospital & Medical CenterTaunton | 16 | $29,270 | $16,396 | $13,320 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 15 | $26,979 | $14,820 | $13,662 |
| Falmouth HospitalFalmouth | 13 | $28,842 | $14,367 | $13,394 |
| Newton-Wellesley HospitalNewton Lower Falls | 12 | $33,164 | $16,185 | $14,479 |
| Lawrence General HospitalLawrence | 11 | $30,043 | $17,240 | $15,635 |
Lowest and highest payments in Massachusetts
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
| Falmouth HospitalFalmouth, MA | $14,367 |
|---|---|
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $14,659 |
| Beverly Hospital CorporationBeverly, MA | $14,735 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $14,820 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | $16,185 |
Highest
| Boston Medical Center CorporationBoston, MA | $27,716 |
|---|---|
| Umass Memorial Medical Center INCWorcester, MA | $26,434 |
| Massachusetts General HospitalBoston, MA | $24,660 |
| Baystate Medical CenterSpringfield, MA | $20,011 |
| Berkshire Medical Center INCPittsfield, MA | $19,461 |
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 Massachusetts?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy with major complications (DRG 896) at 17 hospitals in Massachusetts was billed at $43,241 on average, while the average total payment was $19,188, of which Medicare paid $16,101. 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 Massachusetts, average charges were 2.3 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.