Inpatient stays / DRG 896
MS-DRG 896 · 188 hospitals · 9,158 stays
DRG 896: Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC
Medicare patients had 9,158 stays in DRG 896 in 2024. Hospitals charged an average of $77,866 per stay and were paid $17,500 — a ratio of 4.4 to 1 — of which Medicare's own share averaged $14,553. Average charges ran from $16,119 at the least expensive hospital to $347,255 at the most; half of hospitals charged between $47,057 and $104,866.
- 1Average charge $77,866
- 2Average paid $17,500
- 3Reporting hospitals 188
- 4Medicare stays 9,158
By state
Average charges for DRG 896 were highest in New Jersey ($138,899) and lowest in Maryland ($25,284). Payments vary far less than charges, because Medicare sets them: they range across states from $13,025 to $24,841.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| New Jersey | 313 | $138,899 | $19,742 | 7× |
| Alaska | 47 | $128,001 | $24,841 | 5.2× |
| Nevada | 155 | $121,529 | $16,722 | 7.3× |
| California | 1,074 | $118,610 | $21,103 | 5.6× |
| New York | 502 | $102,700 | $24,838 | 4.1× |
| Colorado | 157 | $97,667 | $16,140 | 6.1× |
| Florida | 832 | $93,179 | $13,993 | 6.7× |
| Texas | 482 | $89,091 | $16,928 | 5.3× |
| Pennsylvania | 251 | $87,623 | $16,103 | 5.4× |
| District of Columbia | 25 | $85,066 | $24,465 | 3.5× |
| Arizona | 157 | $81,988 | $16,021 | 5.1× |
| Washington | 240 | $81,556 | $17,172 | 4.7× |
| Idaho | 45 | $81,296 | $16,580 | 4.9× |
| South Carolina | 156 | $74,519 | $14,427 | 5.2× |
| South Dakota | 21 | $71,597 | $16,121 | 4.4× |
| Kansas | 78 | $68,828 | $13,889 | 5× |
| Virginia | 200 | $68,168 | $15,288 | 4.5× |
| Mississippi | 56 | $67,784 | $13,785 | 4.9× |
| Georgia | 193 | $67,371 | $16,755 | 4× |
| Connecticut | 169 | $66,933 | $20,899 | 3.2× |
| Alabama | 82 | $66,791 | $13,270 | 5× |
| West Virginia | 30 | $66,475 | $17,810 | 3.7× |
| Missouri | 138 | $64,296 | $15,954 | 4× |
| Louisiana | 55 | $64,010 | $14,490 | 4.4× |
| Rhode Island | 47 | $62,864 | $21,827 | 2.9× |
| New Hampshire | 76 | $61,121 | $17,272 | 3.5× |
| Oregon | 127 | $60,333 | $20,431 | 3× |
| Illinois | 363 | $60,179 | $17,188 | 3.5× |
| Maine | 52 | $59,723 | $16,439 | 3.6× |
| New Mexico | 68 | $59,511 | $16,902 | 3.5× |
| Tennessee | 168 | $59,456 | $13,122 | 4.5× |
| North Carolina | 192 | $59,438 | $15,396 | 3.9× |
| Indiana | 192 | $58,353 | $14,769 | 4× |
| Minnesota | 241 | $58,112 | $18,329 | 3.2× |
| Kentucky | 95 | $57,286 | $13,025 | 4.4× |
| Oklahoma | 113 | $54,444 | $13,674 | 4× |
| Arkansas | 71 | $53,856 | $13,198 | 4.1× |
| Delaware | 51 | $53,391 | $16,949 | 3.2× |
| Wisconsin | 172 | $52,510 | $16,223 | 3.2× |
| Nebraska | 56 | $49,605 | $14,907 | 3.3× |
| Ohio | 289 | $49,502 | $14,360 | 3.4× |
| Michigan | 300 | $49,410 | $15,696 | 3.1× |
| Utah | 59 | $48,506 | $14,538 | 3.3× |
| Wyoming | 25 | $48,210 | $19,401 | 2.5× |
| Iowa | 78 | $41,057 | $14,033 | 2.9× |
| Massachusetts | 593 | $40,119 | $18,558 | 2.2× |
| Montana | 30 | $37,902 | $13,820 | 2.7× |
| North Dakota | 32 | $37,535 | $14,385 | 2.6× |
| Maryland | 180 | $25,284 | $23,068 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Regional Medical Center of San Jose San Jose, CA · 12 stays | $347,255 | $21,032 |
| Montefiore Medical Center Bronx, NY · 12 stays | $340,007 | $49,076 |
| Cjw Medical Center Richmond, VA · 11 stays | $257,223 | $12,205 |
| Stanford Health Care Stanford, CA · 25 stays | $219,593 | $28,784 |
| New York-Presbyterian Hospital New York, NY · 23 stays | $201,508 | $26,725 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 23 stays | $200,166 | $15,126 |
| St Michael Medical Center Bremerton, WA · 13 stays | $192,654 | $30,420 |
| Providence Alaska Medical Center Anchorage, AK · 11 stays | $186,417 | $21,800 |
| Long Island Community Hospital Patchogue, NY · 12 stays | $180,174 | $17,015 |
| Swedish Medical Center Seattle, WA · 11 stays | $171,977 | $15,114 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Meritus Medical Center Hagerstown, MD · 11 stays | $16,119 | $14,762 |
| Carrollton Regional Medical Center Carrollton, TX · 11 stays | $22,324 | $12,122 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 11 stays | $22,939 | $21,084 |
| Johns Hopkins Bayview Medical Center Baltimore, MD · 16 stays | $24,601 | $21,551 |
| Berkshire Medical Center Inc - 1 Pittsfield, MA · 28 stays | $25,863 | $19,461 |
| Good Samaritan Medical Center Brockton, MA · 15 stays | $26,979 | $14,820 |
| Cape Cod Hospital Hyannis, MA · 29 stays | $28,069 | $18,369 |
| Beverly Hospital Corporation Beverly, MA · 19 stays | $28,477 | $14,735 |
| Falmouth Hospital Falmouth, MA · 13 stays | $28,842 | $14,367 |
| Brown University Health Morton Hospital Taunton, MA · 16 stays | $29,270 | $16,396 |
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.