National price data · 238 hospitals
Residential substance abuse treatment cost
What a residential substance abuse treatment costs across the U.S. — and the fair price to aim for.
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
1.00×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%)
1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Behavioral Pricing FingerprintLow Shoppable & Low Captive
Uniform Value Leader
Northern Light C A Dean Hospital maintains disciplined commercial pricing across both elective shoppable care (0.7× Medicare) and captive emergency/ancillary departments (1.0× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.80× Fair BaseRate) without hidden ancillary cross-subsidization.
#6 of 27 in ME · 18th State Percentile#281 of 3,385 in U.S. · 8th National Percentile
Advantage
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 20% below peer Fair BaseRate (0.80×)
- Self-pay cash beats commercial insurance on 58% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (76/100 safety score) with 96% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (59.3% AGB cap)
Watchout
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.00× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (1.0×) & laboratory (0.9×) services average 1.43× higher multiples than routine shoppable care (0.7×)
- Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 7.6× Medicare (25¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
0.7× Medicare
Pre-scheduled outpatient procedures where patients can comparison-shop.
Back-Door Captive & ER1.43× Divergence
1.0× Medicare
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Quantile Tail Spread+14% Upper Tail
Q25 0.36× · Q50 0.86× · Q75 0.98×
Detects median-gaming when upper-quartile codes spike above the p50 median.
Select any lens to inspect department markups, federal cost accounting, or insurer discounts.
Department & Integrity Multiples (vs. CMS Medicare Cost Anchor)
Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×
Front-Door Shoppable CareFront-Door Shoppable
0.7× MedicareGood
Outpatient Surgery & ORBack-Door Captive
0.9× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
0.8× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
1.0× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
0.9× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.1× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
58% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 76/100Fair
National Geographic Price Intelligence · 50-State + DC/PR Cartogram
National State Price Index Heatmap · Residential substance abuse treatment
State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories
<0.93× Below Fair Price
0.93–1.05× Near Average
1.05–1.18× Elevated
>1.18× High-Cost State
AK1.15×
1.8× Med
ME0.36×
1.5× Med
WA1.24×
1.5× Med
ID0.87×
1.6× Med
MT1.20×
1.5× Med
ND0.41×
2.4× Med
MN0.85×
1.6× Med
WI2.03×
2.0× Med
MI0.75×
1.1× Med
VT0.86×
1.3× Med
NH0.63×
1.9× Med
OR1.14×
1.5× Med
NV1.65×
1.7× Med
WY0.85×
1.0× Med
SD0.88×
1.8× Med
IA1.28×
1.7× Med
IL0.77×
1.5× Med
IN1.01×
1.4× Med
OH1.06×
1.4× Med
PA1.01×
1.3× Med
NY2.48×
1.4× Med
MA1.20×
1.9× Med
CA1.18×
1.5× Med
UT1.00×
2.2× Med
CO1.70×
1.9× Med
NE2.56×
2.5× Med
MO0.86×
1.4× Med
KY0.93×
1.7× Med
WV0.86×
1.5× Med
VA2.00×
1.7× Med
MD1.20×
1.2× Med
NJ0.83×
1.7× Med
CT1.00×
1.3× Med
AZ2.60×
1.5× Med
NM1.10×
2.0× Med
KS1.00×
1.8× Med
AR0.93×
1.4× Med
TN0.94×
1.3× Med
NC0.93×
1.6× Med
SC0.68×
1.4× Med
DE1.21×
2.3× Med
DC1.31×
1.9× Med
RI1.40×
1.6× Med
OK0.80×
1.7× Med
LA0.75×
1.4× Med
MS0.68×
1.3× Med
AL2.22×
1.1× Med
GA1.07×
1.6× Med
HI0.98×
1.3× Med
TX0.68×
1.8× Med
FL0.95×
2.1× Med
PR0.77×
1.1× Med
ME0.36×1.5× MedND0.41×2.4× MedNH0.63×1.9× MedMS0.68×1.3× MedSC0.68×1.4× MedTX0.68×1.8× MedLA0.75×1.4× MedMI0.75×1.1× MedIL0.77×1.5× MedPR0.77×1.1× MedOK0.80×1.7× MedNJ0.83×1.7× MedMN0.85×1.6× MedWY0.85×1.0× MedMO0.86×1.4× MedVT0.86×1.3× MedWV0.86×1.5× MedID0.87×1.6× MedSD0.88×1.8× MedAR0.93×1.4× MedKY0.93×1.7× MedNC0.93×1.6× MedTN0.94×1.3× MedFL0.95×2.1× MedHI0.98×1.3× MedCT1.00×1.3× MedKS1.00×1.8× MedUT1.00×2.2× MedIN1.01×1.4× MedPA1.01×1.3× MedOH1.06×1.4× MedGA1.07×1.6× MedNM1.10×2.0× MedOR1.14×1.5× MedAK1.15×1.8× MedCA1.18×1.5× MedMA1.20×1.9× MedMD1.20×1.2× MedMT1.20×1.5× MedDE1.21×2.3× MedWA1.24×1.5× MedIA1.28×1.7× MedDC1.31×1.9× MedRI1.40×1.6× MedNV1.65×1.7× MedCO1.70×1.9× MedVA2.00×1.7× MedWI2.03×2.0× MedAL2.22×1.1× MedNY2.48×1.4× MedNE2.56×2.5× MedAZ2.60×1.5× Med
5 Lowest-Price States (Confounder-Isolated Value Leaders)
5 Highest-Markup States (Strict Bill Audit Recommended)
The BaseRate high confidence
$94
the fair national price for a residential substance abuse treatment
typically $54–$246 across 238 hospitals · how we calculate it
modeled estimate · not a bill or quote
238
hospitals priced
36
states
4.6×
price spread — where shopping matters
—
vs. Medicare
Across 238 hospitals in 36 states, a residential substance abuse treatment has a fair BaseRate of $94 and typically costs $54–$246. The cheapest state is ME; the priciest is AZ.
Cheapest hospitals for a residential substance abuse treatment
- Northern Light C A Dean Hospital · Greenville, ME $21
- Northern Light Maine Coast Hospital · Ellsworth, ME $21
- Northern Light Sebasticook Valley Hospital · Pittsfield, ME $21
- Northern Light Blue Hill Memorial Hospital · Blue Hill, ME $21
- Northern Light Mercy Hospital · Portland, ME $32
- Northern Light Mayo Hospital · Dover Foxcroft, ME $32
- Blessing Hospital · Quincy, IL $32
- Northern Light A R Gould Hospital · Presque Isle, ME $32
- Altru Hospital · Grand Forks, ND $33
- Sanford Medical Center Bismarck · Bismarck, ND $35
- Sanford Usd Medical Center · Sioux Falls, SD $35
- Sanford Medical Center Fargo · Fargo, ND $36
- Fairview Northland Regional Hospital · Princeton, MN $37
- Virginia Hospital Center · Arlington, VA $44
- Cheshire Medical Center · Keene, NH $46
Residential substance abuse treatment cost by state
AL $195 8 hospitals AZ $229 13 hospitals CA $104 6 hospitals CO $150 3 hospitals FL $84 19 hospitals IA $113 3 hospitals IL $68 17 hospitals LA $66 2 hospitals ME $32 9 hospitals MI $66 4 hospitals MN $75 32 hospitals MO $76 2 hospitals MS $60 2 hospitals ND $36 5 hospitals NE $225 4 hospitals NH $55 2 hospitals NJ $73 2 hospitals NV $145 4 hospitals NY $218 25 hospitals OH $93 22 hospitals OK $70 10 hospitals PA $89 6 hospitals SC $60 4 hospitals SD $77 3 hospitals TX $60 5 hospitals VA $176 7 hospitals WI $179 10 hospitals
Inline Bill X-Ray & 501(r) Calculator
501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%
Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)
Fair BaseRate™ $94
Medicare Rate $55
Self-Pay Cash Request Quote
Insurer Median $88
Pre-filled with U.S. Hospital Benchmark’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check
501(r) AGB Cap: $77 (274% FPL)
Statutory 501(r) AGB Cap Limits Bill to $77
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $77).
Step 2 · Cash vs. Insurance Arbitrage
Request Prompt-Pay Quote
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Step 3 · Fair BaseRate Target
+$117 Above Fair BaseRate
Negotiate Toward $94 Fair BaseRate ($55 Medicare)
Your bill ($211) is $117 above the denoised Fair BaseRate ($94) and 3.8× the $55 Medicare rate.
1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.