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Substance Use Disorder without Rehabilitation (without MCC)

Texas 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 Texas, July 2026.

Insurers have agreed to pay about $12,589 for this service. Most negotiated rates run $10,233 to $20,417.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $12,589 · 10th to 90th $7,943 to $22,909
$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
$8,511.38
Median
$12,589.25
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$18,620.87
Typical High
$26,302.68
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
$7,943.28
Median
$9,549.93
Typical High
$26,302.68
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$9,772.37
Typical High
$22,387.21

Where Texas 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.

Texas· 30th 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.