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Substance Use Disorder with Rehabilitation

Pennsylvania rates for MS-DRG 895

Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy

Rates data updated July 2026.

How much does Substance Use Disorder with Rehabilitation cost?

$20,417

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $20,417 for this service. Most negotiated rates run $13,804 to $26,303.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20,417 · 10th to 90th $11,482 to $29,512
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $20,417

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$21,379.62
Typical High
$29,512.09
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$23,988.33
Typical High
$38,904.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$22,387.21
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$20,892.96
Typical High
$28,840.32
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$20,892.96
Typical High
$30,199.52
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$12,882.50
Typical High
$19,054.61
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$18,620.87
Typical High
$33,113.11

Where Pennsylvania sits

The same service costs 10.5 times more in Montana than in Mississippi. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $20,417 · 32nd of 51
MT $75,858MS $7,244

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.