Alcohol, drug abuse or dependence without rehabilitation therapy without major complications in Massachusetts
What 35 hospitals in Massachusetts 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
$18,139
Hospital list price billed
Average payment
$8,814
Medicare + patient + other payers
Medicare paid
$7,211
Average per stay
State rank
#27 of 42
1 = lowest average payment
Hospitals in Massachusetts billed an average of $18,139 for alcohol, drug abuse or dependence without rehabilitation therapy without major complications, about 2.1 times the average total payment of $8,814. That payment is 5% 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 $8,814Billed $18,139
About 49¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Massachusetts:
Massachusetts hospitals: alcohol, drug abuse or dependence without rehabilitation therapy without major complications
Every Massachusetts hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Adcare Hospital of Worcester INCWorcester | 429 | $9,043 | $7,621 | $6,715 |
| Umass Memorial Medical Center INCWorcester | 68 | $42,088 | $11,620 | $8,914 |
| South Shore HospitalSouth Weymouth | 64 | $14,262 | $6,952 | $5,791 |
| Southcoast Hospital Group, INCFall River | 47 | $20,768 | $7,767 | $6,183 |
| Beverly Hospital CorporationBeverly | 42 | $15,225 | $7,163 | $5,955 |
| Union HospitalLynn | 41 | $18,947 | $8,166 | $6,625 |
| Morton Hospital & Medical CenterTaunton | 38 | $12,047 | $7,163 | $6,121 |
| Berkshire Medical Center INCPittsfield | 36 | $25,544 | $13,518 | $10,327 |
| Baystate Franklin Medical CenterGreenfield | 35 | $18,326 | $7,882 | $6,128 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 34 | $15,945 | $7,385 | $5,677 |
| Massachusetts General HospitalBoston | 30 | $79,526 | $15,272 | $9,288 |
| Boston Medical Center-BrightonBrighton | 29 | $13,829 | $10,652 | $7,989 |
| Lowell General HospitalLowell | 29 | $17,946 | $7,593 | $6,479 |
| Sturdy Memorial HospitalAttleboro | 28 | $10,898 | $7,073 | $6,315 |
| Boston Medical Center CorporationBoston | 28 | $35,419 | $17,946 | $14,453 |
| Faulkner HospitalBoston | 27 | $22,928 | $8,184 | $7,282 |
| Cape Cod HospitalHyannis | 26 | $19,966 | $9,226 | $7,824 |
| Baystate Medical CenterSpringfield | 26 | $17,695 | $9,692 | $7,492 |
| Winchester HospitalWinchester | 26 | $15,558 | $6,993 | $6,273 |
| Cambridge Health AllianceCambridge | 23 | $13,461 | $15,699 | $14,033 |
| Newton-Wellesley HospitalNewton Lower Falls | 22 | $22,814 | $7,796 | $6,348 |
| Mount Auburn HospitalCambridge | 20 | $19,155 | $9,414 | $7,261 |
| Lawrence General HospitalLawrence | 19 | $23,088 | $9,235 | $6,995 |
| Harrington Memorial HospitalSouthbridge | 16 | $20,551 | $7,374 | $6,609 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 16 | $13,586 | $7,302 | $6,790 |
| Healthalliance Hospitals, INCLeominster | 14 | $46,512 | $12,774 | $9,135 |
| Melrosewakefield HealthcareMelrose | 14 | $15,595 | $8,241 | $5,782 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 14 | $13,647 | $7,173 | $6,229 |
| Tufts Medical CenterBoston | 14 | $29,076 | $12,464 | $9,076 |
| Lahey Clinic HospitalBurlington | 14 | $19,290 | $9,718 | $7,632 |
| Holyoke Medical CenterHolyoke | 13 | $15,640 | $7,680 | $6,176 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 12 | $14,070 | $7,690 | $6,134 |
| Milford Regional Medical CenterMilford | 12 | $10,247 | $6,782 | $5,763 |
| Emerson HospitalConcord | 11 | $20,208 | $8,514 | $4,635 |
| Beth Israel Deaconess Medical CenterBoston | 11 | $21,709 | $11,590 | $8,879 |
Lowest and highest payments in Massachusetts
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
| Milford Regional Medical CenterMilford, MA | $6,782 |
|---|---|
| South Shore HospitalSouth Weymouth, MA | $6,952 |
| Winchester HospitalWinchester, MA | $6,993 |
| Sturdy Memorial HospitalAttleboro, MA | $7,073 |
| Beverly Hospital CorporationBeverly, MA | $7,163 |
Highest
| Boston Medical Center CorporationBoston, MA | $17,946 |
|---|---|
| Cambridge Health AllianceCambridge, MA | $15,699 |
| Massachusetts General HospitalBoston, MA | $15,272 |
| Berkshire Medical Center INCPittsfield, MA | $13,518 |
| Healthalliance Hospitals, INCLeominster, MA | $12,774 |
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 Massachusetts?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy without major complications (DRG 897) at 35 hospitals in Massachusetts was billed at $18,139 on average, while the average total payment was $8,814, of which Medicare paid $7,211. 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 Massachusetts, average charges were 2.1 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.