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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 October 2026.

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

$28,840

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $22,909 to $42,658.

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 $28,840 · 10th to 90th $6,310 to $60,256
$200$1K$5K$20K$100Kfacility $28,840

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$20,417.38
Median
$38,018.94
Typical High
$81,283.05
Ambetter
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$30,199.52
Typical High
$30,199.52
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$28,840.32
Typical High
$50,118.72
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$29,512.09
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$28,840.32
Typical High
$74,131.02
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$173.78
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$33,113.11
Typical High
$74,131.02
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$30,199.52
Typical High
$67,608.30

Where California sits

The same service costs 177.8 times more in Vermont than in Hawaii. 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· 15th of 50

$28,840

VT $48,978HI $275

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.