Alcohol, drug abuse or dependence without rehabilitation therapy without major complications in California
What 57 hospitals in California 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
$62,944
Hospital list price billed
Average payment
$11,030
Medicare + patient + other payers
Medicare paid
$8,947
Average per stay
State rank
#40 of 42
1 = lowest average payment
Hospitals in California billed an average of $62,944 for alcohol, drug abuse or dependence without rehabilitation therapy without major complications, about 5.7 times the average total payment of $11,030. That payment is 19% above the U.S. average 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 $11,030Billed $62,944
About 18¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in California:
California hospitals: alcohol, drug abuse or dependence without rehabilitation therapy without major complications
Every California hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Providence Little Co of Mary Med Ctr San PedroLos Angeles | 130 | $36,366 | $9,323 | $8,042 |
| Hollywood Community Hospital of HollywoodLos Angeles | 118 | $37,335 | $9,276 | $8,249 |
| Santa Barbara Cottage HospitalSanta Barbara | 90 | $38,565 | $9,268 | $7,687 |
| Good Samaritan HospitalBakersfield | 84 | $21,076 | $8,068 | $6,902 |
| Grossmont HospitalLa Mesa | 41 | $54,161 | $9,254 | $8,030 |
| Stanford HospitalPalo Alto | 39 | $159,092 | $26,174 | $11,460 |
| Dominican HospitalSanta Cruz | 34 | $116,504 | $9,262 | $8,302 |
| Community Hospital of the Monterey PeninsulaMonterey | 32 | $50,160 | $9,777 | $8,502 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 31 | $32,286 | $8,483 | $7,410 |
| San Francisco General HospitalSan Francisco | 30 | $137,083 | $28,903 | $23,124 |
| Saint Agnes Medical CenterFresno | 29 | $34,843 | $9,943 | $8,727 |
| Ventura County Medical CenterVentura | 26 | $96,815 | $13,231 | $10,816 |
| Enloe Medical CenterChico | 25 | $61,980 | $9,847 | $7,295 |
| Community Regional Medical CenterFresno | 25 | $70,110 | $11,658 | $8,831 |
| University of California Davis Medical CenterSacramento | 25 | $106,110 | $14,682 | $10,861 |
| College Hospital Costa MesaCosta Mesa | 24 | $9,321 | $10,127 | $8,954 |
| El Camino HospitalMountain View | 23 | $91,157 | $9,846 | $8,691 |
| Mercy San Juan Medical CenterCarmichael | 23 | $72,331 | $9,480 | $8,497 |
| Palomar Medical CenterEscondido | 20 | $113,234 | $9,133 | $7,482 |
| Sutter Medical Center of Santa RosaSanta Rosa | 20 | $64,544 | $11,717 | $9,852 |
| Scripps Memorial Hospital - EncinitasEncinitas | 20 | $60,169 | $8,017 | $7,099 |
| Kaweah Delta Medical CenterVisalia | 19 | $31,618 | $9,523 | $7,882 |
| Mercy Medical Center ReddingRedding | 19 | $65,922 | $9,171 | $7,810 |
| Eisenhower Memorial HospitalRancho Mirage | 19 | $53,685 | $9,385 | $7,619 |
| Sharp Memorial HospitalSan Diego | 18 | $79,078 | $10,312 | $7,497 |
| University of California San Diego Medical CenterSan Diego | 17 | $56,007 | $15,098 | $10,351 |
| Torrance Memorial Medical CenterTorrance | 17 | $79,922 | $12,023 | $6,771 |
| Marinhealth Medical CenterGreenbrae | 17 | $86,775 | $9,613 | $8,941 |
| Los Robles Hospital & Medical CenterThousand Oaks | 17 | $117,013 | $9,175 | $8,031 |
| Santa Clara Valley Medical CenterSan Jose | 16 | $100,251 | $15,530 | $13,263 |
| Sutter General HospitalSacramento | 16 | $49,901 | $10,499 | $9,083 |
| Sutter Roseville Medical CenterRoseville | 16 | $64,274 | $9,818 | $7,154 |
| Scripps Mercy HospitalSan Diego | 15 | $71,870 | $10,365 | $9,148 |
| Riverside County Regional Medical CenterMoreno Valley | 15 | $76,550 | $12,500 | $11,380 |
| Huntington Memorial HospitalPasadena | 14 | $69,661 | $9,062 | $7,907 |
| St Joseph HospitalEureka | 13 | $83,346 | $9,522 | $8,501 |
| Marian Medical CenterSanta Maria | 13 | $53,943 | $9,367 | $7,186 |
| Hanford Community Medical CenterHanford | 13 | $35,057 | $9,194 | $8,648 |
| Santa Rosa Memorial HospitalSanta Rosa | 13 | $77,879 | $10,138 | $8,605 |
| Natividad Medical CenterSalinas | 13 | $101,262 | $12,302 | $11,069 |
| Highland HospitalOakland | 13 | $76,812 | $17,548 | $16,369 |
| John Muir Medical Center - Concord CampusConcord | 13 | $126,852 | $10,329 | $9,234 |
| Cedars-Sinai Medical CenterLos Angeles | 13 | $130,299 | $11,851 | $8,360 |
| Twin Cities Community HospitalTempleton | 13 | $104,899 | $8,450 | $7,446 |
| Marshall Medical Center (1-Rh)Placerville | 12 | $93,312 | $8,571 | $7,619 |
| Contra Costa Regional Medical CenterMartinez | 12 | $32,407 | $22,016 | $14,351 |
| Sonora Community HospitalSonora | 12 | $67,092 | $9,278 | $8,054 |
| Mercy Hospital of FolsomFolsom | 12 | $73,647 | $8,834 | $7,406 |
| Clovis Community Medical CenterClovis | 12 | $50,103 | $8,521 | $7,833 |
| Mission Hospital Regional Med CenterMission Viejo | 12 | $49,423 | $8,712 | $7,896 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 11 | $48,036 | $14,344 | $10,342 |
| California Pacific Medical Ctr - St. Luke's CampusSan Francisco | 11 | $42,061 | $11,169 | $10,109 |
| Glendale Adventist Medical CtrGlendale | 11 | $58,003 | $9,330 | $8,121 |
| Scripps Memorial Hospital la JollaLa Jolla | 11 | $68,535 | $7,971 | $7,229 |
| Salinas Valley Memorial HospitalSalinas | 11 | $78,006 | $10,161 | $8,826 |
| Los Angeles General Medical CenterLos Angeles | 11 | $36,063 | $22,354 | $18,557 |
| Eden Medical CenterCastro Valley | 11 | $70,847 | $9,795 | $8,460 |
Lowest and highest payments in California
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
| Scripps Memorial Hospital la JollaLa Jolla, CA | $7,971 |
|---|---|
| Scripps Memorial Hospital - EncinitasEncinitas, CA | $8,017 |
| Good Samaritan HospitalBakersfield, CA | $8,068 |
| Twin Cities Community HospitalTempleton, CA | $8,450 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $8,483 |
Highest
| San Francisco General HospitalSan Francisco, CA | $28,903 |
|---|---|
| Stanford HospitalPalo Alto, CA | $26,174 |
| Los Angeles General Medical CenterLos Angeles, CA | $22,354 |
| Contra Costa Regional Medical CenterMartinez, CA | $22,016 |
| Highland HospitalOakland, CA | $17,548 |
Alcohol, drug abuse or dependence without rehabilitation therapy without major complications in other states
Questions
How much does alcohol, drug abuse or dependence without rehabilitation therapy without major complications cost in California?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy without major complications (DRG 897) at 57 hospitals in California was billed at $62,944 on average, while the average total payment was $11,030, of which Medicare paid $8,947. 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 California, average charges were 5.7 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.