Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc in Pennsylvania
MS-DRG 896: Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
$69,386typical hospital bill
$15,434typical amount paid
$14,940–$21,223range paid across 4 hospitals
Pennsylvania hospitals billed Medicare a typical $69,386 for this stay in 2024, about 4.5 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Lehigh Valley Hospital | Allentown | 13 | $93,396 | $14,940 | |
| Jefferson Health- Northeast | Philadelphia | 19 | $42,837 | $15,249 | |
| Reading Hospital | West Reading | 13 | $67,530 | $15,618 | |
| Thomas Jefferson University Hospital | Philadelphia | 11 | $71,243 | $21,223 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.