Average Medicaid Substance Abuse Treatment Payments in Charlottesville, VA: $55.62
Avg. Paid
$55.62
Range
$0.00 – $311.91
Total Claims
629,775
Providers
11
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 Charlottesville, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Addiction Recovery Systems Llc
103 S Pantops Dr |
$9.99 | 528,591 | 42,906 |
|
Region Ten Community Community Services Board
500 Old Lynchburg Rd |
$311.91 | 93,506 | 80,607 |
|
Addiction Allies, Llc
631 Berkmar Cir |
$125.27 | 3,787 | 1,577 |
|
Gregory A. Cohron
1300 Jefferson Park Ave |
$21.87 | 2,001 | 1,271 |
|
Erik William Gunderson
1007 E High Street |
$54.14 | 647 | 388 |
|
Holly A Johnson
1244 Clifden Greene |
$17.06 | 430 | 48 |
|
Teswar Wood
2325 Highland Ave |
$38.06 | 331 | 232 |
|
Lisa Jett
1215 Lee St |
$26.31 | 216 | 118 |
|
Anna Catherine Morency
2335 Seminole Ln Ste 200 |
$0.00 | 109 | 108 |
|
Kelly M Schorling
1300 Jefferson Park Ave |
$47.90 | 86 | 54 |
|
Jacque Karen Gentry
1445 E Rio Rd |
$0.34 | 71 | 50 |
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 Charlottesville, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Charlottesville, VA is $55.62 per claim, based on 629,775 claims from 11 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 Charlottesville, VA?
There are 11 Medicaid providers offering Substance Abuse Treatment related services in Charlottesville, VA according to public payment data.
What is the price range for Substance Abuse Treatment in Charlottesville, VA?
Medicaid reimbursement for Substance Abuse Treatment in Charlottesville, VA ranges from $0.00 to $311.91 per claim, with an average of $55.62. 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 Charlottesville, VA
Office Visit
Avg $136.17
1,567,109 claims
Blood Work & Lab Tests
Avg $5.91
1,542,207 claims
X-Ray
Avg $8.17
685,304 claims
Emergency Room Visit
Avg $131.46
564,756 claims
Non-Emergency Medical Transportation
Avg $69.45
541,131 claims
Home Health Visit
Avg $89.44
372,945 claims
Vaccines & Immunizations
Avg $9.90
335,059 claims
Dental Cleaning & Exam
Avg $30.94
284,279 claims