Alcohol, drug abuse or dependence without rehabilitation therapy without major complications in Washington
What 7 hospitals in Washington 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
$34,937
Hospital list price billed
Average payment
$9,187
Medicare + patient + other payers
Medicare paid
$6,356
Average per stay
State rank
#35 of 42
1 = lowest average payment
Hospitals in Washington billed an average of $34,937 for alcohol, drug abuse or dependence without rehabilitation therapy without major complications, about 3.8 times the average total payment of $9,187. That payment is 1% 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 $9,187Billed $34,937
About 26¢ was paid for every $1 hospitals in Washington billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Washington:
Washington hospitals: alcohol, drug abuse or dependence without rehabilitation therapy without major complications
Every Washington 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 Regional Medical Center EverettEverett | 50 | $28,967 | $7,993 | $6,394 |
| Swedish Medical CenterSeattle | 36 | $28,801 | $10,111 | $6,905 |
| Evergreenhealth Medical CenterKirkland | 15 | $46,412 | $7,142 | $5,945 |
| Providence Sacred Heart Medical CenterSpokane | 13 | $22,813 | $7,729 | $6,293 |
| Peacehealth St Joseph Medical CenterBellingham | 12 | $56,148 | $19,027 | $5,580 |
| St Michael Medical CenterBremerton | 12 | $57,870 | $7,869 | $6,568 |
| Kadlec Regional Medical CenterRichland | 12 | $32,864 | $7,010 | $5,695 |
Lowest and highest payments in Washington
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
| Kadlec Regional Medical CenterRichland, WA | $7,010 |
|---|---|
| Evergreenhealth Medical CenterKirkland, WA | $7,142 |
| Providence Sacred Heart Medical CenterSpokane, WA | $7,729 |
| St Michael Medical CenterBremerton, WA | $7,869 |
| Providence Regional Medical Center EverettEverett, WA | $7,993 |
Highest
| Peacehealth St Joseph Medical CenterBellingham, WA | $19,027 |
|---|---|
| Swedish Medical CenterSeattle, WA | $10,111 |
| Providence Regional Medical Center EverettEverett, WA | $7,993 |
| St Michael Medical CenterBremerton, WA | $7,869 |
| Providence Sacred Heart Medical CenterSpokane, WA | $7,729 |
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 Washington?
In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy without major complications (DRG 897) at 7 hospitals in Washington was billed at $34,937 on average, while the average total payment was $9,187, of which Medicare paid $6,356. 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 Washington, average charges were 3.8 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.