Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications — what U.S. hospitals charge
MS-DRG 896 · Inpatient stay · 188 U.S. hospitals publish a price
Cheapest quarter
under $47,071
Typical charge
$65,597
Dearest quarter
over $104,743
Actually paid
$18,352
The middle U.S. hospital bills $65,597 for Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications. The dearest hospitals charge about 4.1x what the cheapest do for the same coded work. Medicare actually paid about $18,352 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 without Rehabilitation Therapy with Major Complications cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 4 | $23,770 | $16,119 – $36,406 |
| Massachusetts | 17 | $30,341 | $25,863 – $106,897 |
| Ohio | 3 | $39,988 | $32,382 – $57,233 |
| Michigan | 6 | $51,079 | $46,980 – $67,898 |
| Connecticut | 6 | $55,833 | $47,078 – $86,687 |
| Wisconsin | 3 | $58,519 | $45,904 – $92,672 |
| North Carolina | 3 | $60,464 | $57,644 – $63,033 |
| Minnesota | 12 | $61,756 | $33,149 – $91,122 |
| Illinois | 7 | $61,784 | $43,893 – $109,926 |
| Missouri | 3 | $62,736 | $54,226 – $68,930 |
| Washington | 7 | $68,457 | $48,072 – $192,654 |
| Colorado | 4 | $69,376 | $42,860 – $153,433 |
| Pennsylvania | 4 | $69,386 | $42,837 – $93,396 |
| Florida | 20 | $78,091 | $35,740 – $159,746 |
| Texas | 5 | $78,900 | $22,324 – $111,464 |
| South Carolina | 4 | $84,124 | $48,936 – $124,567 |
| California | 24 | $104,805 | $44,048 – $347,255 |
| New York | 15 | $105,782 | $48,212 – $340,007 |
| New Jersey | 8 | $113,301 | $74,498 – $169,258 |
| Nevada | 6 | $120,376 | $55,020 – $200,166 |
Where Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Meritus Medical Center
Hagerstown, MD |
$16,119 | $14,762 |
|
Carrollton Regional Medical Center
Carrollton, TX |
$22,324 | $12,122 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$22,939 | $21,084 |
|
Johns Hopkins Bayview Medical Center
Baltimore, MD |
$24,601 | $21,551 |
|
Berkshire Medical Center
Pittsfield, MA |
$25,863 | $19,461 |
|
Good Samaritan Medical Center
Brockton, MA |
$26,979 | $14,820 |
|
Cape Cod Hospital
Hyannis, MA |
$28,069 | $18,369 |
|
Northeast Hospital Corporation
Beverly, MA |
$28,477 | $14,735 |
|
Falmouth Hospital
Falmouth, MA |
$28,842 | $14,367 |
|
Brown University Health Morton Hospital
Taunton, MA |
$29,270 | $16,396 |
|
Beth Israel Deaconess Hospital Plymouth
Plymouth, MA |
$29,309 | $14,659 |
|
Merrimack Health Lawrence Hospital
Lawrence, MA |
$30,043 | $17,240 |
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 |
|---|---|---|
|
Regional Medical Center Of San Jose
San Jose, CA |
$347,255 | $21,033 |
|
Montefiore Medical Center
Bronx, NY |
$340,007 | $49,076 |
|
Cjw Medical Center
Richmond, VA |
$257,223 | $12,205 |
|
Stanford Health Care
Stanford, CA |
$219,593 | $28,784 |
|
New York-Presbyterian Hospital
New York, NY |
$201,508 | $26,725 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$200,166 | $15,126 |
|
St Michael Medical Center
Silverdale, WA |
$192,654 | $30,420 |
|
Providence Alaska Medical Center
Anchorage, AK |
$186,417 | $21,800 |
|
Long Island Community Hospital
Patchogue, NY |
$180,174 | $17,015 |
|
Swedish Medical Center
Seattle, WA |
$171,977 | $15,114 |
|
Henderson Hospital
Henderson, NV |
$170,208 | $14,703 |
|
Hackensack University Medical Center
Hackensack, NJ |
$169,258 | $25,183 |
Questions people ask
What do U.S. hospitals charge for Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications?
Across 188 U.S. hospitals, the middle charge for Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications is $65,597. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $47,071 and the dearest quarter over $104,743.
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 without Rehabilitation Therapy with Major Complications, the hospitals in the dearest tenth charge about 4.1x 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. $18,352 is roughly what Medicare actually paid per case, against an average charge of $80,479. 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 896: “ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC”. 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.