facebook tracking Alcohol, drug abuse or dependence without rehabilitation therapy without major complications cost in Iowa: 10 hospitals compared (DRG 897)

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

What 10 hospitals in Iowa 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 $25,535 Hospital list price billed
Average payment $8,102 Medicare + patient + other payers
Medicare paid $6,090 Average per stay
State rank #18 of 42 1 = lowest average payment

Hospitals in Iowa billed an average of $25,535 for alcohol, drug abuse or dependence without rehabilitation therapy without major complications, about 3.2 times the average total payment of $8,102. That payment is 13% 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 $8,102Billed $25,535

About 32¢ was paid for every $1 hospitals in Iowa billed for this stay.

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

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

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

Hospital Stays Avg charge Avg payment Medicare paid
Mercyone Waterloo Medical CenterWaterloo 27 $22,896 $7,266 $5,650
Iowa Methodist Medical CenterDes Moines 22 $22,924 $6,726 $4,847
Broadlawns Medical CenterDes Moines 22 $35,681 $15,567 $11,621
Mercy Medical Center-DubuqueDubuque 20 $17,806 $6,058 $4,752
University of Iowa Hospital & ClinicsIowa City 19 $34,328 $9,935 $7,095
Mercy Medical Center-North IowaMason City 19 $27,845 $7,231 $5,415
Mercy Medical Center-Des MoinesDes Moines 15 $36,513 $6,188 $5,019
Genesis Medical Center-DavenportDavenport 12 $17,714 $6,346 $4,700
St Lukes HospitalCedar Rapids 12 $15,799 $6,503 $4,233
Mercy Medical Center - Cedar RapidsCedar Rapids 11 $15,999 $6,293 $5,454
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Lowest and highest payments in Iowa

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

Mercy Medical Center-DubuqueDubuque, IA$6,058
Mercy Medical Center-Des MoinesDes Moines, IA$6,188
Mercy Medical Center - Cedar RapidsCedar Rapids, IA$6,293
Genesis Medical Center-DavenportDavenport, IA$6,346
St Lukes HospitalCedar Rapids, IA$6,503

Highest

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 Iowa?

In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy without major complications (DRG 897) at 10 hospitals in Iowa was billed at $25,535 on average, while the average total payment was $8,102, of which Medicare paid $6,090. 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 Iowa, average charges were 3.2 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.