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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.

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

$25,119

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $25,119 for this service. Most negotiated rates run $16,982 to $32,359.

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 $25,119 · 10th to 90th $14,125 to $36,308
$5K$10K$20K$50Kfacility $25,119

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
$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

Where Pennsylvania 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.

Pennsylvania· 29th of 51

$25,119

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.