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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 October 2026.

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

$25,704

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $25,704 for this service. Most negotiated rates run $16,218 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 $25,704 · 10th to 90th $13,183 to $38,019
$5K$10K$20K$50Kfacility $25,704

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
$15,848.93
Median
$28,840.32
Typical High
$40,738.03
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$19,054.61
Median
$28,840.32
Typical High
$41,686.94
Cigna
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$27,542.29
Geisinger
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$24,547.09
Typical High
$36,307.81
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$28,183.83
Typical High
$41,686.94
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$15,848.93
Median
$28,840.32
Typical High
$41,686.94
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$16,218.10
Typical High
$27,542.29
United
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$25,118.86
Typical High
$38,904.51

Where Pennsylvania 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.

Pennsylvania· 23rd of 50

$25,704

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.