Alcohol, Drug Abuse or Dependence, Left Ama — what U.S. hospitals charge

MS-DRG 894 · Inpatient stay · 31 U.S. hospitals publish a price

Cheapest quarter

under $8,319

Typical charge

$13,988

Dearest quarter

over $22,852

Actually paid

$7,308

The middle U.S. hospital bills $13,988 for Alcohol, Drug Abuse or Dependence, Left Ama. The dearest hospitals charge about 5.1x what the cheapest do for the same coded work. Medicare actually paid about $7,308 per case.

These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.

Alcohol, Drug Abuse or Dependence, Left Ama cost by state

The middle charge in each state where at least three hospitals publish a price, cheapest first.

State	Hospitals	Typical charge	Range
Massachusetts	5	$7,128	$4,214 – $27,272
New York	13	$14,704	$7,039 – $80,210
California	3	$25,342	$22,255 – $69,840

Where Alcohol, Drug Abuse or Dependence, Left Ama is charged least

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital	Charged	Actually paid
Wilmington Treatment Center Wilmington, NC	$3,400	$4,162
Adcare Hospital Of Worcester Inc Worcester, MA	$4,214	$5,344
Johns Hopkins Bayview Medical Center Baltimore, MD	$4,949	$4,339
Henry Ford Health Brighton Center For Recovery Brighton, MI	$6,018	$3,851
Flushing Hospital Medical Center Flushing, NY	$7,039	$8,483
Brown University Health Morton Hospital Taunton, MA	$7,104	$4,873
Berkshire Medical Center Pittsfield, MA	$7,128	$6,444
Turning Point Hospital Moultrie, GA	$7,200	$3,870
Boston Medical Center-Brighton Brighton, MA	$9,437	$7,093
St John's Riverside Hospital Yonkers, NY	$9,782	$6,863
St Barnabas Hospital Bronx, NY	$11,372	$16,186
Erie County Medical Center Buffalo, NY	$12,241	$7,237

Where it is charged most

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital	Charged	Actually paid
Suny/Stony Brook University Hospital Stony Brook, NY	$80,210	$10,039
University Of California Davis Medical Center Sacramento, CA	$69,840	$8,984
St Charles Hospital Port Jefferson, NY	$51,280	$7,688
Mount Sinai West New York, NY	$30,606	$8,436
Umass Memorial Medical Center/University Campus Worcester, MA	$27,272	$7,890
Mount St. Mary's Hospital & Health Center Lewiston, NY	$27,175	$5,599
Southern California Hospital At Hollywood Hollywood, CA	$25,342	$6,577
Unity Hospital Rochester, NY	$23,449	$6,434
Providence Little Co Of Mary Med Ctr San Pedro San Pedro, CA	$22,255	$6,460
Valley Forge Medical Center Norristown, PA	$21,491	$4,105
South Shore Hospital Chicago, IL	$18,758	$5,413
Nassau University Medical Center East Meadow, NY	$16,339	$9,940

Questions people ask

What do U.S. hospitals charge for Alcohol, Drug Abuse or Dependence, Left Ama?

Across 31 U.S. hospitals, the middle charge for Alcohol, Drug Abuse or Dependence, Left Ama is $13,988. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $8,319 and the dearest quarter over $22,852.

Why do hospitals charge such different amounts for the same procedure?

Because a hospital charge is a list price it sets itself, not a regulated rate. For Alcohol, Drug Abuse or Dependence, Left Ama, the hospitals in the dearest tenth charge about 5.1x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.

Is that what I would actually pay?

No. $7,308 is roughly what Medicare actually paid per case, against an average charge of $14,844. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.

What this code covers

CMS records this work as MS-DRG 894: “ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.

Related procedures

Psychoses typically $36,077
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major typically $32,548
Cirrhosis and Alcoholic Hepatitis with Major Complications typically $79,965
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy typically $35,049
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications typically $65,597
Cirrhosis and Alcoholic Hepatitis with Complications typically $45,765
Acute Adjustment Reaction and Psychosocial Dysfunction typically $41,092

Before you are billed

Ask for a written good-faith estimate — you are entitled to one if you are uninsured or paying yourself.
Check the hospital's machine-readable price file; every U.S. hospital must publish one.
If you are insured, ask whether every provider involved is in network — the surprise usually comes from the ones you never met.

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