Average Medicaid Substance Abuse Treatment Payments in Albany, NY: $113.47
Avg. Paid
$113.47
Range
$40.42 – $286.59
Total Claims
475,654
Providers
29
Typical Payment Range
Typical Medicaid Substance Abuse Treatment payments fall between $34.14 and $105.27 per claim (median: $65.20). The top 10% of payments exceed $163.43.
Based on per-provider averages across all Medicaid claims in this category.
Treatment programs for substance use disorders, including detoxification, counseling, medication-assisted treatment (MAT), and rehabilitation services.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Substance Abuse Treatment in Albany, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Whitney M. Young, Jr. Health Center, Inc.
920 Lark Dr |
$58.43 | 121,533 | 18,569 |
|
The Addictions Care Center Of Albany, Inc
1044 Broadway |
$151.60 | 115,750 | 5,234 |
|
Hospitality House Tc, Inc.
271 Central Ave |
$158.88 | 47,155 | 1,935 |
|
St. Peter'S Hospital Of The City Of Albany
315 S Manning Blvd |
$82.47 | 45,092 | 13,371 |
|
St. Catherine'S Center For Children
30 N Main Ave |
$102.75 | 23,190 | 4,464 |
|
Hope House Inc.
747 Madison Ave |
$51.56 | 17,830 | 3,174 |
|
Hope House, Inc.
573 Livingston Ave |
$125.72 | 15,249 | 642 |
|
St. Anne Institute
160 N Main Ave |
$104.87 | 14,265 | 2,890 |
|
Hope House Inc.
261 N. Pearl St. |
$276.60 | 12,076 | 972 |
|
Hope House, Inc.
577 Livingston Ave |
$286.59 | 11,396 | 900 |
|
St. Peter'S Hospital Of The City Of Albany
64 2Nd Avenue |
$62.70 | 5,726 | 1,055 |
|
St. Peter'S Hospital Of The City Of Albany
315 South Manning Blvd |
$146.32 | 5,516 | 1,807 |
|
Northeast Parent And Child Society, Inc.
60 Academy Rd |
$96.52 | 5,156 | 923 |
|
Parsons Child And Family Center
60 Academy Rd |
$110.37 | 4,549 | 745 |
|
Equinox Inc
95 Central Ave |
$55.22 | 4,509 | 1,713 |
|
St. Peter'S Hospital Of The City Of Albany
845 Central Avenue Suite 107 |
$58.44 | 3,539 | 865 |
|
Pascuala C Reyes
113 Holland Ave |
$120.14 | 3,531 | 847 |
|
Colleen Elizabeth Parent
4 Palisades Dr Ste 150 |
$79.06 | 3,493 | 1,442 |
|
Hope House Inc.
2 Holland Ave |
$134.78 | 3,491 | 164 |
|
Jamie-Lynn Kane
75 New Scotland Ave |
$73.86 | 3,447 | 1,196 |
|
Esther Aguirre
500 Central Ave |
$118.58 | 2,504 | 898 |
|
Parsons Child And Family Center
60 Academy Rd |
$45.64 | 2,392 | 555 |
|
Padmaja Madala
920 Lark Dr |
$99.61 | 1,998 | 792 |
|
Angad Madan
315 S Manning Blvd Ste 6408A |
$40.42 | 1,045 | 249 |
|
Caitlin Gorr
314 Central Ave |
$74.54 | 610 | 220 |
|
Trinity Alliance Of The Capital Region
3 Lincoln Square |
$109.06 | 346 | 25 |
|
Belvedere Health Services
3 City Square Plaza |
$47.96 | 204 | 56 |
|
Pearl Street Counseling Center, Inc.
109 State St |
$46.28 | 35 | 35 |
|
Catholic Charities Of The Diocese Of Albany
1 Park Pl Ste 100 |
$71.33 | 27 | 27 |
What to Expect: Substance Abuse Treatment
Substance abuse treatment varies widely based on the program. Outpatient treatment involves regular counseling sessions and may include medication-assisted treatment (like Suboxone or methadone). Intensive outpatient programs (IOP) involve 9-20 hours per week of structured treatment. Individual counseling, group therapy, and peer support are common components.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services | $20.02 | 312,323,784 | 3,904 |
| H0004 | Alcohol and/or drug services | $89.45 | 73,272,784 | 23,966 |
| H0038 | Self-help/peer svc per 15min | $102.60 | 30,385,812 | 7,670 |
| H0015 | Alcohol and/or drug services | $152.04 | 25,053,675 | 9,061 |
| H0005 | Alcohol and/or drug services | $53.46 | 23,222,742 | 9,936 |
| H2036 | A/d tx program, per diem | $258.14 | 18,209,988 | 1,399 |
| H0023 | Alcohol and/or drug outreach | $129.61 | 9,489,348 | 1,230 |
| H2035 | A/d tx program, per hour | $133.88 | 8,557,719 | 772 |
| H0006 | Alcohol and/or drug services | $58.37 | 8,299,938 | 8,185 |
| H0025 | Alcohol and/or drug preventi | $59.91 | 4,103,530 | 1,218 |
| H0010 | Alcohol and/or drug services | $422.31 | 3,875,371 | 395 |
| H0001 | Alcohol and/or drug assess | $82.04 | 3,265,107 | 5,031 |
| H0002 | Alcohol and/or drug screenin | $50.82 | 3,220,721 | 4,504 |
| H0049 | Alcohol/drug screening | $6.25 | 2,594,750 | 4,239 |
| H0022 | Alcohol and/or drug interven | $34.60 | 942,099 | 951 |
| T1012 | Alcohol/substance abuse skil | $61.60 | 820,776 | 236 |
| H0014 | Alcohol and/or drug services | $206.17 | 618,111 | 786 |
| H0012 | Alcohol and/or drug services | $266.77 | 587,849 | 172 |
| H0050 | Alcohol/drug service 15 min | $39.26 | 340,958 | 472 |
| H0007 | Alcohol and/or drug services | $261.94 | 101,784 | 110 |
| T1006 | Family/couple counseling | $172.57 | 38,563 | 50 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Substance Abuse Treatment cost in Albany, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Albany, NY is $113.47 per claim, based on 475,654 claims from 29 providers. Typical payments fall between $34.14 and $105.27. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Substance Abuse Treatment in Albany, NY?
There are 29 Medicaid providers offering Substance Abuse Treatment related services in Albany, NY according to public payment data.
What is the price range for Substance Abuse Treatment in Albany, NY?
Medicaid reimbursement for Substance Abuse Treatment in Albany, NY ranges from $40.42 to $286.59 per claim, with an average of $113.47. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
Hartford, CT
Avg $14.18
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
10,076,493 claims · 688 providers
Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
7,464,932 claims · 477 providers
Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
Other Procedures in Albany, NY
Home Health Visit
Avg $164.04
1,910,190 claims
Office Visit
Avg $75.72
1,010,207 claims
Blood Work & Lab Tests
Avg $10.26
759,592 claims
Emergency Room Visit
Avg $100.90
490,144 claims
Psychiatric Evaluation
Avg $113.81
474,025 claims
EKG / ECG (Electrocardiogram)
Avg $6.06
268,376 claims
Physical Therapy
Avg $51.40
215,450 claims
X-Ray
Avg $7.34
207,234 claims