[genewitch]

Medicaid is the largest payer because the state is who determined that an individual needs 24/7 hospitalization. There's nothing even remotely remarkable about this. If you drink heavily your entire adult life, your brain is swiss cheese before retirement age. You can no longer "function" in society. The courts cannot do anything until you present a problem for society at large. State run hospitals are very nearly entirely comprised of people who will be in the hospital until they die, with a marginal few matriculating into a group home or another facility (for instance, end-of-life facility).

I don't remember offhand what the facilities "charge per day" but i imagine it wouldn't be too difficult to ask someone in billing the next time i have a chance.