go back

Substance Use Disorder without Rehabilitation (without MCC)

California rates for MS-DRG 897

Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC

Rates data updated July 2026.

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

$21,380

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $21,380 for this service. Most negotiated rates run $15,488 to $29,512.

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 $21,380 · 10th to 90th $10,471 to $36,308
$200$1K$5K$20Kfacility $21,380

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
$13,489.63
Median
$20,417.38
Typical High
$34,673.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$21,877.62
Typical High
$37,153.52
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$14,454.40
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$14,791.08
Typical High
$37,153.52
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$31,622.78
Typical High
$31,622.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$14,791.08
Typical High
$37,153.52
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$16,218.10
Typical High
$34,673.69

Where California sits

The same service costs 12.0 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.

California· 6th of 51

$21,380

MT $75,858MS $6,310

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.