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Substance Use Disorder without Rehabilitation (with MCC)

Pennsylvania rates for MS-DRG 896

Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC

Rates data updated July 2026.

Facilitymedian $25,119 · 10th–90th $14,125$36,3080%10%10th90th$25,119$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$26,302.68
Typical High
$36,307.81
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$30,199.52
Typical High
$47,863.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$27,542.29
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$29,512.09
Typical High
$36,307.81
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$26,915.35
Typical High
$38,018.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$25,703.96
Typical High
$37,153.52
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$16,218.10
Typical High
$27,542.29
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$22,387.21
Typical High
$40,738.03