facebook tracking Alcohol, drug abuse or dependence without rehabilitation therapy with major complications cost in New York: 15 hospitals compared (DRG 896)

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

What 15 hospitals in New York 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 $127,983 Hospital list price billed
Average payment $25,411 Medicare + patient + other payers
Medicare paid $19,888 Average per stay
State rank #20 of 20 1 = lowest average payment

Hospitals in New York billed an average of $127,983 for alcohol, drug abuse or dependence without rehabilitation therapy with major complications, about 5.0 times the average total payment of $25,411. That payment is 39% 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 $25,411Billed $127,983

About 20¢ was paid for every $1 hospitals in New York billed for this stay.

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

Major complications $25,411 DRG 896 · this page No major complications $9,294 DRG 897 · U.S. average

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

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

Hospital Stays Avg charge Avg payment Medicare paid
New York-Presbyterian HospitalNew York 23 $201,508 $26,725 $20,468
Long Island Jewish Medical CenterNew Hyde Park 19 $127,038 $18,665 $16,276
NYU Hospitals CenterNew York 19 $143,242 $25,290 $20,512
Mount Sinai WestNew York 17 $142,103 $23,632 $19,928
North Shore University HospitalManhasset 16 $168,228 $20,268 $16,337
University HospitalStony Brook 15 $105,782 $25,307 $19,066
Southside HospitalBay Shore 14 $86,761 $17,460 $15,895
Elmhurst Hospital CenterNew York 14 $51,502 $41,099 $34,879
St Peter's HospitalAlbany 13 $51,401 $17,507 $10,471
Good Samaritan Hospital Medical CenterWest Islip 13 $84,965 $16,604 $15,440
Montefiore Medical CenterBronx 12 $340,007 $49,076 $32,792
Long Island Community HospitalPatchogue 12 $180,174 $17,015 $15,417
South Brooklyn HealthBrooklyn 12 $63,166 $27,153 $19,730
Erie County Medical CenterBuffalo 12 $48,212 $25,650 $16,317
Jacobi Medical CenterBronx 11 $60,092 $35,970 $27,313
Alcohol, drug abuse or dependence without rehabilitation therapy with major complications: all states All New York hospitals New York hospital finances
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Lowest and highest payments in New York

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

Good Samaritan Hospital Medical CenterWest Islip, NY$16,604
Long Island Community HospitalPatchogue, NY$17,015
Southside HospitalBay Shore, NY$17,460
St Peter's HospitalAlbany, NY$17,507
Long Island Jewish Medical CenterNew Hyde Park, NY$18,665

Highest

Montefiore Medical CenterBronx, NY$49,076
Elmhurst Hospital CenterNew York, NY$41,099
Jacobi Medical CenterBronx, NY$35,970
South Brooklyn HealthBrooklyn, NY$27,153
New York-Presbyterian HospitalNew York, NY$26,725

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

Alaska · $23,503 California · $21,887 Connecticut · $21,958 Georgia · $22,674 Idaho · $20,690 Maryland · $22,295 New Hampshire · $22,187 Rhode Island · $25,362

Questions

How much does alcohol, drug abuse or dependence without rehabilitation therapy with major complications cost in New York?

In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy with major complications (DRG 896) at 15 hospitals in New York was billed at $127,983 on average, while the average total payment was $25,411, of which Medicare paid $19,888. 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 New York, average charges were 5.0 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.