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Substance Use Disorder without Rehabilitation (without MCC)

Wisconsin 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?

$15,488

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $15,488 for this service. Most negotiated rates run $10,715 to $18,621.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,488 · 10th to 90th $7,413 to $22,909
$200$500$1K$2K$5K$10K$20Kfacility $15,488

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
$13,182.57
Median
$15,848.93
Typical High
$16,218.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$16,218.10
Typical High
$24,547.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$11,481.54
Typical High
$13,803.84
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$13,182.57
Typical High
$16,982.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$15,488.17
Typical High
$25,703.96
Network Health
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Quartz
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$10,232.93
Typical High
$13,182.57
Security Health
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$18,197.01
Typical High
$18,620.87
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$16,595.87
Typical High
$20,892.96

Where Wisconsin 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.

Wisconsin· 16th of 51

$15,488

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.