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Substance Use Disorder without Rehabilitation (with MCC)

New York 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?

$38,905

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $38,905 for this service. Most negotiated rates run $23,442 to $52,481.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,905 · 10th to 90th $13,490 to $67,608
$10K$20K$50Kfacility $38,905

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
$12,302.69
Median
$36,307.81
Typical High
$63,095.73
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$51,286.14
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$30,902.95
Typical High
$54,954.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$41,686.94
Typical High
$87,096.36
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$33,884.42
Typical High
$58,884.37

Where New York 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.

New York· 10th of 51

$38,905

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.