Alcohol, drug abuse or dependence without rehabilitation therapy without major complications in Pennsylvania
What 16 hospitals in Pennsylvania 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
$44,440
Hospital list price billed
Average payment
$8,706
Medicare + patient + other payers
Medicare paid
$6,237
Average per stay
State rank
#25 of 42
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $44,440 for alcohol, drug abuse or dependence without rehabilitation therapy without major complications, about 5.1 times the average total payment of $8,706. That payment is 6% 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 $8,706Billed $44,440
About 20¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: alcohol, drug abuse or dependence without rehabilitation therapy without major complications
Every Pennsylvania hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| St Luke's Hospital BethlehemBethlehem | 44 | $42,004 | $8,786 | $6,277 |
| Lehigh Valley HospitalAllentown | 36 | $63,263 | $8,630 | $5,675 |
| UPMC McKeesportMcKeesport | 33 | $52,639 | $8,983 | $5,650 |
| UPMC MercyPittsburgh | 31 | $31,786 | $9,129 | $6,415 |
| Hospital of the Univ of PaPhiladelphia | 24 | $59,304 | $13,084 | $8,502 |
| Jefferson Health- NortheastPhiladelphia | 24 | $24,288 | $7,438 | $5,644 |
| St Mary Medical CenterLanghorne | 22 | $33,247 | $7,147 | $5,662 |
| Millcreek Community HospitalErie | 20 | $9,205 | $7,990 | $6,136 |
| Abington Memorial HospitalAbington | 14 | $34,850 | $7,522 | $6,230 |
| Temple University HospitalPhiladelphia | 13 | $95,925 | $11,867 | $8,766 |
| Chester County HospitalWest Chester | 13 | $42,514 | $6,505 | $5,252 |
| Reading Hospital and Med CtrWest Reading | 12 | $40,477 | $7,976 | $6,713 |
| Geisinger Medical CenterDanville | 11 | $59,666 | $9,589 | $6,245 |
| UPMC Pinnacle HospitalsHarrisburg | 11 | $35,381 | $7,689 | $5,775 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 11 | $25,270 | $6,631 | $5,240 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 11 | $72,588 | $7,620 | $5,963 |
Lowest and highest payments in Pennsylvania
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
| Chester County HospitalWest Chester, PA | $6,505 |
|---|---|
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville, PA | $6,631 |
| St Mary Medical CenterLanghorne, PA | $7,147 |
| Jefferson Health- NortheastPhiladelphia, PA | $7,438 |
| Abington Memorial HospitalAbington, PA | $7,522 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $13,084 |
|---|---|
| Temple University HospitalPhiladelphia, PA | $11,867 |
| Geisinger Medical CenterDanville, PA | $9,589 |
| UPMC MercyPittsburgh, PA | $9,129 |
| UPMC McKeesportMcKeesport, PA | $8,983 |
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 Pennsylvania?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy without major complications (DRG 897) at 16 hospitals in Pennsylvania was billed at $44,440 on average, while the average total payment was $8,706, of which Medicare paid $6,237. 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 Pennsylvania, average charges were 5.1 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.