Average Medicaid Substance Abuse Treatment Payments in Cape Girardeau, MO: $65.14
Avg. Paid
$65.14
Range
$6.06 – $128.36
Total Claims
170,944
Providers
5
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 Cape Girardeau, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Metro Treatment Of Missouri, Lp
760 S. Kings Highway |
$71.21 | 4,164 | 1,629 |
|
James Richard Palen
3129 Blattner Dr |
$29.61 | 8,078 | 383 |
|
Community Counseling Center
402 S Silver Springs Rd |
$6.06 | 11,539 | 6,155 |
|
Gibson Center For Behavioral Change
1112 Linden St |
$128.36 | 48,392 | 18,260 |
|
Community Counseling Center
402 S Silver Springs Rd |
$43.72 | 98,771 | 35,948 |
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 Cape Girardeau, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Cape Girardeau, MO is $65.14 per claim, based on 170,944 claims from 5 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 Cape Girardeau, MO?
There are 5 Medicaid providers offering Substance Abuse Treatment related services in Cape Girardeau, MO according to public payment data.
What is the price range for Substance Abuse Treatment in Cape Girardeau, MO?
Medicaid reimbursement for Substance Abuse Treatment in Cape Girardeau, MO ranges from $6.06 to $128.36 per claim, with an average of $65.14. 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 Cape Girardeau, MO
Behavioral & Mental Health Therapy
Avg $119.77
821,479 claims
X-Ray
Avg $7.03
501,647 claims
Office Visit
Avg $49.51
320,729 claims
Blood Work & Lab Tests
Avg $39.56
239,852 claims
CT Scan (Computed Tomography)
Avg $39.58
218,100 claims
Emergency Room Visit
Avg $99.47
132,806 claims
EKG / ECG (Electrocardiogram)
Avg $21.99
63,529 claims
Urinalysis & Urine Tests
Avg $39.90
59,236 claims