Alcohol, drug abuse or dependence without rehabilitation therapy without major complications
What 502 hospitals in the U.S. charged and were paid for a Medicare hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy without major complications (DRG 897), from 2024 Medicare claims.
Average charge
$35,111
Hospital list price billed
Average payment
$9,294
Medicare + patient + other payers
Medicare paid
$7,306
Average per stay
Volume
11,716
Medicare hospital stays
Hospitals in the U.S. billed an average of $35,111 for alcohol, drug abuse or dependence without rehabilitation therapy without major complications, about 3.8 times the average total payment of $9,294.
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 $9,294Billed $35,111
About 26¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Johns Hopkins Bayview Medical CenterBaltimore, MD | $4,615 |
|---|---|
| Turning Point HospitalMoultrie, GA | $5,483 |
| Thomas Memorial HospitalSouth Charleston, WV | $5,560 |
| Physicians Regional Medical Center - Pine RidgeNaples, FL | $5,633 |
| Deaconess Hospital INCEvansville, IN | $5,859 |
| Wilmington Treatment CenterWilmington, NC | $5,945 |
| Mercy Medical Center-DubuqueDubuque, IA | $6,058 |
| Alliance Health CenterMeridian, MS | $6,097 |
| Baptist Health Medical Center-Little RockLittle Rock, AR | $6,194 |
| Boca Raton Regional HospitalBoca Raton, FL | $6,338 |
Highest
| San Francisco General HospitalSan Francisco, CA | $28,903 |
|---|---|
| Bergen Regional Medical CenterParamus, NJ | $28,241 |
| Stanford HospitalPalo Alto, CA | $26,174 |
| Grady Memorial HospitalAtlanta, GA | $22,768 |
| St Barnabas HospitalBronx, NY | $21,206 |
| Boston Medical Center CorporationBoston, MA | $17,946 |
| Cambridge Health AllianceCambridge, MA | $15,699 |
| Broadlawns Medical CenterDes Moines, IA | $15,567 |
| Massachusetts General HospitalBoston, MA | $15,272 |
| Larkin Community HospitalSouth Miami, FL | $15,168 |
Alcohol, drug abuse or dependence without rehabilitation therapy without major complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 8 | $19,057 | $8,303 | $6,352 – $10,407 |
| Alaska | 3 | $85,867 | $9,023 | $7,847 – $10,874 |
| Arizona | 6 | $37,928 | $7,976 | $6,141 – $11,047 |
| Arkansas | 6 | $30,000 | $7,211 | $6,194 – $10,112 |
| California | 57 | $62,944 | $11,030 | $7,971 – $28,903 |
| Colorado | 2 | $100,777 | $7,234 | $6,995 – $7,473 |
| Connecticut | 9 | $36,030 | $10,062 | $7,425 – $11,600 |
| Delaware | 3 | $29,187 | $9,023 | $7,384 – $11,036 |
| Florida | 38 | $50,221 | $7,810 | $5,458 – $16,543 |
| Georgia | 8 | $30,697 | $9,649 | $5,483 – $22,768 |
| Hawaii | 1 | $88,537 | $20,944 | – |
| Idaho | 2 | $20,160 | $7,078 | $7,025 – $7,300 |
| Illinois | 26 | $28,899 | $8,090 | $5,586 – $16,111 |
| Indiana | 8 | $23,107 | $7,552 | $5,859 – $11,005 |
| Iowa | 10 | $25,535 | $8,102 | $6,058 – $15,567 |
| Kansas | 4 | $46,784 | $7,524 | $6,259 – $8,678 |
| Kentucky | 7 | $23,333 | $7,129 | $5,753 – $9,844 |
| Louisiana | 1 | $43,826 | $9,380 | – |
| Maine | 6 | $25,993 | $8,234 | $7,524 – $9,272 |
| Maryland | 16 | $9,860 | $8,904 | $4,615 – $19,953 |
| Massachusetts | 35 | $18,139 | $8,814 | $6,782 – $17,946 |
| Michigan | 17 | $25,935 | $8,211 | $6,197 – $11,421 |
| Minnesota | 14 | $29,511 | $8,796 | $6,371 – $16,011 |
| Mississippi | 4 | $10,422 | $6,566 | $6,030 – $9,873 |
| Missouri | 11 | $27,141 | $8,998 | $6,340 – $21,746 |
| Montana | 2 | $18,951 | $7,250 | $7,092 – $7,409 |
| Nebraska | 5 | $24,103 | $8,554 | $6,800 – $9,854 |
| Nevada | 4 | $51,010 | $8,942 | $8,093 – $10,319 |
| New Hampshire | 5 | $35,069 | $8,369 | $6,801 – $11,278 |
| New Jersey | 24 | $51,030 | $14,060 | $6,354 – $28,241 |
| New Mexico | 1 | $24,753 | $7,506 | – |
| New York | 37 | $44,912 | $12,028 | $7,193 – $25,890 |
| North Carolina | 14 | $12,986 | $7,010 | $5,945 – $13,269 |
| North Dakota | 4 | $25,577 | $7,441 | $6,876 – $7,712 |
| Ohio | 16 | $27,218 | $8,077 | $5,447 – $10,465 |
| Oklahoma | 3 | $19,775 | $7,754 | $6,806 – $8,081 |
| Oregon | 4 | $24,995 | $9,066 | $7,687 – $9,865 |
| Pennsylvania | 16 | $44,440 | $8,706 | $6,505 – $13,084 |
| Rhode Island | 5 | $26,992 | $9,639 | $7,524 – $12,205 |
| South Carolina | 3 | $42,788 | $7,484 | $6,612 – $8,206 |
| South Dakota | 2 | $27,672 | $7,901 | $7,127 – $8,998 |
| Tennessee | 6 | $31,703 | $7,467 | $5,680 – $8,618 |
| Texas | 10 | $53,167 | $8,037 | $6,698 – $10,678 |
| Utah | 3 | $29,409 | $9,703 | $7,892 – $11,812 |
| Vermont | 3 | $25,513 | $8,886 | $7,947 – $9,582 |
| Virginia | 9 | $32,518 | $8,581 | $6,220 – $13,885 |
| Washington | 7 | $34,937 | $9,187 | $7,010 – $19,027 |
| West Virginia | 3 | $28,873 | $6,874 | $5,560 – $8,438 |
| Wisconsin | 9 | $27,445 | $7,913 | $6,523 – $11,158 |
| Wyoming | 2 | $20,752 | $9,547 | $8,045 – $11,300 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adcare Hospital of Worcester INCWorcester, MA | 429 | $9,043 | $7,621 |
| Wilmington Treatment CenterWilmington, NC | 409 | $5,242 | $5,945 |
| Bergen Regional Medical CenterParamus, NJ | 171 | $28,395 | $28,241 |
| Providence Little Co of Mary Med Ctr San PedroLos Angeles, CA | 130 | $36,366 | $9,323 |
| St John's Riverside HospitalYonkers, NY | 130 | $13,408 | $9,623 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | 120 | $5,252 | $4,615 |
| Hollywood Community Hospital of HollywoodLos Angeles, CA | 118 | $37,335 | $9,276 |
| University of Minnesota Medical Center, FairviewMinneapolis, MN | 96 | $23,949 | $10,008 |
| Santa Barbara Cottage HospitalSanta Barbara, CA | 90 | $38,565 | $9,268 |
| Jefferson Stratford HospitalCherry Hill, NJ | 89 | $40,188 | $8,682 |
| Good Samaritan HospitalBakersfield, CA | 84 | $21,076 | $8,068 |
| Erie County Medical CenterBuffalo, NY | 75 | $18,781 | $11,101 |
| Turning Point HospitalMoultrie, GA | 72 | $10,667 | $5,483 |
| Nassau University Medical CenterEast Meadow, NY | 70 | $36,281 | $13,976 |
| University HospitalStony Brook, NY | 70 | $69,599 | $12,295 |
Questions
How much does alcohol, drug abuse or dependence without rehabilitation therapy without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy without major complications (DRG 897) at 502 hospitals in the U.S. was billed at $35,111 on average, while the average total payment was $9,294, of which Medicare paid $7,306. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for alcohol, drug abuse or dependence without rehabilitation therapy without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New Jersey ($14,060), New York ($12,028), California ($11,030) and lowest in Mississippi ($6,566), West Virginia ($6,874), North Carolina ($7,010).
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 the U.S., average charges were 3.8 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.