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Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with major complications
Medicare DRG 896. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$80,410
Avg total payment
$18,338
Avg Medicare pays
$15,209
Hospitals reporting
187
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| Virginia | 1 | $257,223 | $10,978 |
| Alaska | 2 | $133,869 | $20,054 |
| New York | 15 | $123,612 | $20,056 |
| Idaho | 1 | $122,005 | $19,816 |
| Nevada | 6 | $121,228 | $14,477 |
| New Jersey | 8 | $110,432 | $14,955 |
| Kansas | 2 | $108,509 | $12,381 |
| California | 23 | $107,872 | $19,124 |
| Washington | 7 | $103,596 | $14,062 |
| Florida | 20 | $85,590 | $11,532 |
| South Carolina | 4 | $85,438 | $11,392 |
| Colorado | 4 | $83,761 | $14,747 |
| Texas | 5 | $76,624 | $12,215 |
| Rhode Island | 2 | $75,699 | $15,651 |
| Georgia | 2 | $71,400 | $18,589 |
| Pennsylvania | 4 | $68,751 | $14,141 |
| New Hampshire | 1 | $66,806 | $16,261 |
| Maine | 2 | $66,529 | $13,659 |
| Wisconsin | 3 | $65,698 | $15,103 |
| Illinois | 7 | $63,873 | $12,766 |
| Connecticut | 6 | $62,704 | $16,739 |
| Kentucky | 1 | $62,615 | $10,809 |
| Missouri | 3 | $61,964 | $12,464 |
| Minnesota | 12 | $61,428 | $14,470 |
| North Carolina | 3 | $60,380 | $12,311 |
| Michigan | 6 | $53,820 | $12,589 |
| Nebraska | 2 | $51,859 | $13,093 |
| New Mexico | 2 | $44,766 | $14,736 |
| Ohio | 3 | $43,201 | $12,872 |
| Delaware | 1 | $42,211 | $13,527 |
| Massachusetts | 17 | $39,937 | $15,891 |
| Oklahoma | 2 | $39,395 | $11,379 |
| North Dakota | 2 | $38,529 | $12,936 |
| Oregon | 2 | $38,184 | $15,200 |
| Wyoming | 1 | $37,621 | $15,646 |
| Indiana | 1 | $36,708 | $11,271 |
| Maryland | 4 | $25,016 | $21,149 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.