facebook tracking Alcohol, drug abuse or dependence without rehabilitation therapy without major complications cost in Indiana: 8 hospitals compared (DRG 897)

Alcohol, drug abuse or dependence without rehabilitation therapy without major complications in Indiana

What 8 hospitals in Indiana 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.

DRG 897 Inpatient 2024 Medicare data
Average charge $23,107 Hospital list price billed
Average payment $7,552 Medicare + patient + other payers
Medicare paid $6,142 Average per stay
State rank #10 of 42 1 = lowest average payment

Hospitals in Indiana billed an average of $23,107 for alcohol, drug abuse or dependence without rehabilitation therapy without major complications, about 3.1 times the average total payment of $7,552. That payment is 19% below 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 $7,552Billed $23,107

About 33¢ was paid for every $1 hospitals in Indiana billed for this stay.

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

Indiana hospitals: alcohol, drug abuse or dependence without rehabilitation therapy without major complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Community Hospital EastIndianapolis 48 $16,610 $7,724 $6,185
Deaconess Hospital INCEvansville 26 $19,065 $5,859 $4,626
Parkview HospitalFort Wayne 23 $24,458 $7,398 $5,883
Saint John's Health SystemAnderson 22 $19,230 $7,141 $6,319
St Vincent Hospital & Health ServicesIndianapolis 18 $36,735 $8,906 $6,808
Ball Memorial Hospital INCMuncie 15 $29,925 $7,403 $6,365
Reid Hosp & Hlth Care ServicesRichmond 14 $20,875 $6,721 $6,073
Clarian Health PartnersIndianapolis 11 $37,178 $11,005 $8,422
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Lowest and highest payments in Indiana

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

Deaconess Hospital INCEvansville, IN$5,859
Reid Hosp & Hlth Care ServicesRichmond, IN$6,721
Saint John's Health SystemAnderson, IN$7,141
Parkview HospitalFort Wayne, IN$7,398
Ball Memorial Hospital INCMuncie, IN$7,403

Highest

Clarian Health PartnersIndianapolis, IN$11,005
St Vincent Hospital & Health ServicesIndianapolis, IN$8,906
Community Hospital EastIndianapolis, IN$7,724
Ball Memorial Hospital INCMuncie, IN$7,403
Parkview HospitalFort Wayne, IN$7,398

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 Indiana?

In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy without major complications (DRG 897) at 8 hospitals in Indiana was billed at $23,107 on average, while the average total payment was $7,552, of which Medicare paid $6,142. 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 Indiana, average charges were 3.1 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.