Inpatient stays / DRG 895
MS-DRG 895 · 53 hospitals · 3,598 stays
DRG 895: Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
Medicare patients had 3,598 stays in DRG 895 in 2024. Hospitals charged an average of $34,206 per stay and were paid $13,997 — a ratio of 2.4 to 1 — of which Medicare's own share averaged $12,308. Average charges ran from $5,823 at the least expensive hospital to $261,262 at the most; half of hospitals charged between $19,646 and $57,766.
- 1Average charge $34,206
- 2Average paid $13,997
- 3Reporting hospitals 53
- 4Medicare stays 3,598
By state
Average charges for DRG 895 were highest in New York ($82,693) and lowest in Alabama ($12,180). Payments vary far less than charges, because Medicare sets them: they range across states from $10,317 to $20,132.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| New York | 582 | $82,693 | $17,436 | 4.7× |
| Utah | 32 | $62,555 | $13,381 | 4.7× |
| New Jersey | 82 | $62,302 | $15,306 | 4.1× |
| Minnesota | 15 | $58,831 | $12,143 | 4.8× |
| Tennessee | 30 | $58,171 | $11,629 | 5× |
| Colorado | 11 | $45,302 | $12,750 | 3.6× |
| Pennsylvania | 223 | $42,634 | $11,839 | 3.6× |
| Illinois | 84 | $40,712 | $13,264 | 3.1× |
| Florida | 56 | $39,254 | $20,132 | 1.9× |
| Nevada | 20 | $38,291 | $14,839 | 2.6× |
| Ohio | 82 | $36,296 | $13,132 | 2.8× |
| Washington | 13 | $34,993 | $13,748 | 2.5× |
| California | 274 | $32,954 | $17,113 | 1.9× |
| Texas | 310 | $27,484 | $13,361 | 2.1× |
| Wisconsin | 43 | $22,302 | $13,572 | 1.6× |
| Michigan | 160 | $16,327 | $10,406 | 1.6× |
| Massachusetts | 819 | $15,660 | $14,538 | 1.1× |
| Kentucky | 41 | $15,409 | $11,820 | 1.3× |
| Georgia | 454 | $14,295 | $10,317 | 1.4× |
| Indiana | 45 | $12,313 | $12,274 | 1× |
| Alabama | 159 | $12,180 | $12,277 | 1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stony Brook University Hospital Stony Brook, NY · 26 stays | $261,262 | $29,073 |
| Mount Sinai West New York, NY · 11 stays | $151,945 | $24,333 |
| Westchester Medical Center Valhalla, NY · 38 stays | $150,433 | $19,004 |
| Carepoint Health-Christ Hospital Jersey City, NJ · 23 stays | $149,462 | $17,856 |
| Phelps Hospital Sleepy Hollow, NY · 17 stays | $140,913 | $18,519 |
| Bon Secours Community Hospital Port Jervis, NY · 18 stays | $136,845 | $14,043 |
| Nyack Hospital Nyack, NY · 24 stays | $98,120 | $13,744 |
| St Charles Hospital Port Jefferson, NY · 136 stays | $90,867 | $14,452 |
| Mount Sinai Beth Israel New York, NY · 28 stays | $85,696 | $20,903 |
| Ogden Regional Medical Center Ogden, UT · 30 stays | $63,084 | $13,522 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Elmore Community Hospital Wetumpka, AL · 28 stays | $5,823 | $12,566 |
| Clay County Hospital Ashland, AL · 33 stays | $7,897 | $12,693 |
| Berkshire Medical Center Inc - 1 Pittsfield, MA · 75 stays | $8,686 | $17,032 |
| Ascension NE Wisconsin - St Elizabeth Campus Appleton, WI · 13 stays | $11,123 | $11,968 |
| Brown University Health Morton Hospital Taunton, MA · 14 stays | $11,484 | $12,636 |
| Community Fairbanks Recovery Center Indianapolis, IN · 45 stays | $12,313 | $12,274 |
| Wiregrass Medical Center Geneva, AL · 23 stays | $12,789 | $13,812 |
| St Elizabeth's Medical Center Brighton, MA · 51 stays | $13,435 | $18,264 |
| Turning Point Hospital Moultrie, GA · 448 stays | $14,289 | $10,294 |
| Henry Ford Health Brighton Center for Recovery Brighton, MI · 156 stays | $15,236 | $10,230 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.