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Substance Use Disorder without Rehabilitation (with MCC)

California rates for MS-DRG 896

Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC

Rates data updated July 2026.

How much does Substance Use Disorder without Rehabilitation (with MCC) cost?

$41,687

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $41,687 for this service. Most negotiated rates run $30,200 to $57,544.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $41,687 · 10th to 90th $19,498 to $72,444
$200$1K$5K$20Kfacility $41,687

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
$26,302.68
Median
$40,738.03
Typical High
$69,183.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$43,651.58
Typical High
$74,131.02
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$28,183.83
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$28,840.32
Typical High
$74,131.02
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$63,095.73
Typical High
$63,095.73
Providence
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$28,840.32
Typical High
$74,131.02
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$31,622.78
Typical High
$67,608.30

Where California sits

The same service costs 8.5 times more in Montana than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 6th of 51

$41,687

MT $75,858MS $8,913

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.