Average Medicaid Substance Abuse Treatment Payments in Binghamton, NY: $63.01
Avg. Paid
$63.01
Range
$34.47 – $174.54
Total Claims
326,249
Providers
9
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 Binghamton, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
United Health Services Hospitals, Inc.
10-42 Mitchell Ave |
$34.47 | 215,031 | 28,330 |
|
Fairview Recovery Services, Inc
5 Merrick St |
$174.54 | 36,967 | 2,054 |
|
The Addiction Center Of Broome County, Inc.
30 W State St |
$94.87 | 31,214 | 12,776 |
|
Children'S Home Of Wyoming Conference
1182 Chenango St |
$102.26 | 28,016 | 6,719 |
|
Catholic Charities Of Broome County
232 Main St |
$70.79 | 8,948 | 2,596 |
|
Julia Katharine Hunter
10-42 Mitchell Ave |
$37.78 | 3,187 | 454 |
|
Peter Ronan
40 Mitchell Ave |
$39.01 | 2,579 | 435 |
|
Mental Health Association Of The Southern Tier, Inc.
47 Broad Avenue |
$38.73 | 286 | 127 |
|
Our Lady Of Lourdes Memorial Hospital Inc.
169 Riverside Dr |
$44.44 | 21 | 21 |
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 Binghamton, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Binghamton, NY is $63.01 per claim, based on 326,249 claims from 9 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 Binghamton, NY?
There are 9 Medicaid providers offering Substance Abuse Treatment related services in Binghamton, NY according to public payment data.
What is the price range for Substance Abuse Treatment in Binghamton, NY?
Medicaid reimbursement for Substance Abuse Treatment in Binghamton, NY ranges from $34.47 to $174.54 per claim, with an average of $63.01. 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 Binghamton, NY
Office Visit
Avg $100.30
833,952 claims
Blood Work & Lab Tests
Avg $11.07
734,068 claims
Home Health Visit
Avg $123.08
408,192 claims
Psychiatric Evaluation
Avg $150.32
273,253 claims
Physical Therapy
Avg $49.23
213,374 claims
Emergency Room Visit
Avg $133.96
164,441 claims
Vaccines & Immunizations
Avg $21.28
162,007 claims
Dental Cleaning & Exam
Avg $41.47
150,213 claims