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Inpatient stay · MS-DRG 896

Alcohol, drug abuse or dependence without rehabilitation therapy with MCC

In 2024, Medicare and patients paid an average of $18,325 per stay at 188 hospitals. Half of hospitals averaged between $14,566 and $20,332.

National figures, 2024

Average payment per case
$18,325
Typical range (middle half of hospitals)
$14,566–$20,332
Medicare’s share
$15,24783% of the payment
Average billed charge
$80,479
Hospitals reporting
1882,956 stays

Hospitals in California

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
California
Specific hospitals up to 10
Average payment across these 24 hospitals
$21,887National $18,325 · California $21,887
Median hospital
$19,387
Lowest to highest
$16,427–$41,136
Medicare stays
380

24 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Alcohol, drug abuse or dependence without rehabilitation therapy with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 05054915$16,42710% below the national average$14,902$164,356
Palomar Health Downtown CampusEscondido, CA · CCN 05011515$16,633About average$15,645$119,768
Marian Regional Medical CenterSanta Maria, CA · CCN 05010713$16,795About average$15,400$70,543
Oroville HospitalOroville, CA · CCN 05003011$17,159About average$15,972$44,048
Southern California Hospital At HollywoodHollywood, CA · CCN 05013517$17,595About average$16,275$58,140
Dominican HospitalSanta Cruz, CA · CCN 05024221$18,327About average$17,549$116,705
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 05039614$18,420About average$16,859$63,505
Sutter Roseville Medical CenterRoseville, CA · CCN 05030922$18,472About average$17,055$91,788
Mercy Medical Center ReddingRedding, CA · CCN 05028014$19,144About average$17,715$123,738
Providence St Joseph HospitalEureka, CA · CCN 05000626$19,215About average$17,835$104,682
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 05032416$19,251About average$14,713$97,570
Community Regional Medical CenterFresno, CA · CCN 05006011$19,310About average$17,718$79,572
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 05014514$19,463About average$18,064$125,931
Scripps Mercy HospitalSan Diego, CA · CCN 05007716$20,028About average$18,578$88,394
St Johns Regional Medical CenterOxnard, CA · CCN 05008213$20,24610% above the national average$15,322$110,035
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 05017418$20,61913% above the national average$17,567$133,751
Regional Medical Center Of San JoseSan Jose, CA · CCN 05012512$21,03315% above the national average$19,979$347,255
Ventura County Medical CenterVentura, CA · CCN 05015916$21,10915% above the national average$19,330$97,583
Grossmont HospitalLa Mesa, CA · CCN 05002617$22,03820% above the national average$15,646$79,297
Stanford Health CareStanford, CA · CCN 05044125$28,78457% above the national average$24,417$219,593
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 05002513$29,76862% above the national average$20,585$104,928
UCSF Medical CenterSan Francisco, CA · CCN 05045412$31,03669% above the national average$24,897$157,664
Los Angeles General Medical CenterLos Angeles, CA · CCN 05037311$33,29382% above the national average$29,737$63,019
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 05022818$41,136124% above the national average$38,071$166,442

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 3,007 stays at 188 hospitals · 2021: 3,028 stays at 190 hospitals · 2022: 2,883 stays at 185 hospitals · 2023: 2,700 stays at 166 hospitals · 2024: 2,956 stays at 188 hospitals
View data as a table
National average payment and billed charge for Alcohol, drug abuse or dependence without rehabilitation therapy with MCC
Year of careAverage paymentAverage billed charge
2020$16K$62K
2021$18K$67K
2022$17K$68K
2023$18K$79K
2024$18K$80K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 37 states
Average payment by state for Alcohol, drug abuse or dependence without rehabilitation therapy with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Virginia111$12,205$12,205–$12,205
Kentucky116$12,807$12,807–$12,807
Oklahoma233$13,054$12,986–$13,397
Indiana117$13,077$13,077–$13,077
Texas577$13,587$13,116–$13,235
South Carolina457$13,883$13,153–$14,605
Florida20352$14,019$12,589–$14,689
North Carolina354$14,616$14,151–$15,566
North Dakota223$14,792$14,791–$14,794
Kansas224$14,816$14,589–$15,134
Ohio339$15,105$13,787–$15,802
Michigan675$15,498$15,250–$16,158
Maine233$16,006$14,673–$16,544
Missouri341$16,196$13,446–$18,311
Nebraska223$16,254$14,636–$18,179
Nevada6100$16,324$15,181–$16,890
Pennsylvania456$16,436$15,171–$17,020
Delaware133$16,439$16,439–$16,439
Wyoming111$16,449$16,449–$16,449
Colorado449$16,727$13,421–$16,843
Illinois7105$16,941$14,189–$20,078
New Mexico241$17,015$16,869–$20,867
Washington790$17,454$14,852–$16,588
Minnesota12168$17,606$14,745–$18,107
Oregon226$18,041$17,965–$18,184
New Jersey8116$18,311$16,239–$18,944
Massachusetts17399$19,188$16,185–$19,461
Wisconsin339$19,223$15,968–$22,750
Idaho112$20,690$20,690–$20,690
California24380$21,887$18,397–$21,342
Connecticut696$21,958$19,517–$23,245
New Hampshire116$22,187$22,187–$22,187
Maryland449$22,295$19,504–$24,194
Georgia226$22,674$18,876–$25,460
Alaska223$23,503$22,616–$24,248
Rhode Island224$25,362$21,183–$29,541
New York15222$25,411$18,086–$26,939

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.