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Substance Use Disorder without Rehabilitation (without MCC)

Pennsylvania 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?

$12,589

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $12,589 for this service. Most negotiated rates run $8,913 to $15,849.

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 $12,589 · 10th to 90th $7,244 to $18,621
$5K$10K$20Kfacility $12,589

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
$7,943.28
Median
$13,489.63
Typical High
$18,620.87
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$14,791.08
Typical High
$25,703.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$13,803.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$14,791.08
Typical High
$19,054.61
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$11,481.54
Typical High
$16,982.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$13,182.57
Typical High
$18,620.87
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$8,709.64
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$11,481.54
Typical High
$20,892.96

Where Pennsylvania 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.

Pennsylvania· 31st of 51

$12,589

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.