Average Medicaid Substance Abuse Treatment Payments in Cincinnati, OH: $55.29
Avg. Paid
$55.29
Range
$0.00 – $400.00
Total Claims
2,244,339
Providers
679
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 Cincinnati, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brittany Perdue
2203 Fulton Ave |
$34.20 | 12 | 12 |
|
Rebecca Lynn Dohme
6460 Harrison Ave |
$25.02 | 12 | 12 |
|
Christine Grant
1501 Madison Rd |
$61.85 | 12 | 12 |
|
Maria Lynn Wise
6527 Colerain Ave |
$109.56 | 13 | 12 |
|
Taylor Michelle Wright
5122 Glencrossing Way |
$23.60 | 14 | 13 |
|
Salena Cecil
3130 Highland Ave |
$0.72 | 14 | 13 |
|
Elease Fulgham
909 Sycamore St |
$8.37 | 14 | 14 |
|
Victoria Scott
446 Morgan St |
$30.42 | 14 | 14 |
|
Elizabeth Warren
446 Morgan St |
$25.12 | 14 | 13 |
|
Charlie Brady
4898 Guerley Rd |
$39.65 | 15 | 14 |
|
Paige Cromer
463 Ohio Pike Ste 102-B |
$94.86 | 15 | 12 |
|
Martha Beth Penny
4973 Glenway Ave |
$71.60 | 16 | 14 |
|
Stephanie Skavdahl
6527 Colerain Ave |
$23.20 | 16 | 15 |
|
Kylie Kathryn Lipa
219 Odeon St |
$25.76 | 17 | 12 |
|
Kaycia Spenser
5630 Bridgetown Rd Ste 4 |
$103.04 | 17 | 12 |
|
Christiana Marie Weigand
Cincinnati Children'S Hospital |
$310.02 | 17 | 16 |
|
Amy L Mitchell
1620 Harrison Ave |
$62.42 | 18 | 12 |
|
Erin Nicole Smiley
6527 Colerain Ave |
$171.05 | 18 | 13 |
|
Mary Elizabeth Silvani
522-532 Maxwell Ave. |
$120.59 | 18 | 15 |
|
Alicia Dugan
42 E Crescentville Rd |
$22.03 | 18 | 17 |
|
Sharon Smith Alati
311 Albert Sabin Way |
$16.28 | 18 | 12 |
|
Emily Zimmer
6527 Colerain Ave |
$226.34 | 19 | 18 |
|
Kendriana Jones
4966 Glenway Ave |
$82.43 | 20 | 12 |
|
Meranda Jennings
2621 Victory Pkwy |
$92.74 | 20 | 13 |
|
Linda H Foster
2203 Fulton Ave |
$58.16 | 20 | 12 |
|
Brandon Michael Laug
6527 Colerain Ave |
$251.85 | 20 | 15 |
|
Tammy Hill
530 Maxwell Ave |
$33.08 | 21 | 12 |
|
Catherine L Rehn
3009 Burnet Ave |
$60.97 | 21 | 16 |
|
Ketra Bonner
7373 Brookcrest Dr |
$45.63 | 21 | 13 |
|
Brittany Bowerman
4855 Eastern Ave |
$93.23 | 21 | 13 |
|
Shawna N Barnes
909 Sycamore St |
$33.50 | 21 | 12 |
|
Tena Lewis
446 Morgan St |
$191.59 | 22 | 14 |
|
William John Payne
446 Morgan St |
$74.61 | 22 | 12 |
|
Amy Louise Deen
2602 Victory Pkwy |
$80.64 | 22 | 12 |
|
Tiffany Renee Barnett
4738 Eastern Ave |
$42.63 | 22 | 14 |
|
Colby Lynn Black
446 Morgan St |
$60.22 | 23 | 17 |
|
Kathryn Rose Shaw
830 Ezzard Charles Dr |
$27.59 | 23 | 13 |
|
Amanda Mae Martin
6460 Harrison Ave |
$60.34 | 24 | 20 |
|
Anttarch Brandy
892 Glasgow Dr |
$28.84 | 24 | 13 |
|
Andre Bernard Clark
4966 Glenway Ave |
$35.82 | 24 | 14 |
|
Donna Lynn Shockley
2211 Fulton Ave |
$110.60 | 25 | 25 |
|
Vernes M Dickinson
3009 Burnet Ave |
$54.45 | 25 | 12 |
|
Danielle Barnhill
4600 Montgomery Rd Ste 400 |
$80.52 | 25 | 19 |
|
Lucretia D Dewberry
6460 Harrison Ave |
$54.84 | 25 | 18 |
|
Steven Reichert
1501 Madison Rd |
$47.43 | 26 | 14 |
|
Cody Lairmore
3515 Werk Rd |
$91.51 | 26 | 18 |
|
Jeffery William Dietrich
8554 Wexford Ave |
$19.54 | 26 | 24 |
|
Erin Eads
5916 Saranac Ave |
$62.96 | 27 | 25 |
|
Louise Marie Becker
911 Sycamore St |
$19.54 | 28 | 26 |
|
Emily A Sweeney
1501 Madison Rd |
$60.77 | 28 | 25 |
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 Cincinnati, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Cincinnati, OH is $55.29 per claim, based on 2,244,339 claims from 679 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 Cincinnati, OH?
There are 679 Medicaid providers offering Substance Abuse Treatment related services in Cincinnati, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Cincinnati, OH?
Medicaid reimbursement for Substance Abuse Treatment in Cincinnati, OH ranges from $0.00 to $400.00 per claim, with an average of $55.29. 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 Cincinnati, OH
Blood Work & Lab Tests
Avg $7.16
12,933,390 claims
Office Visit
Avg $57.26
6,244,164 claims
Emergency Room Visit
Avg $94.36
2,312,527 claims
Home Health Visit
Avg $67.23
2,297,701 claims
Behavioral & Mental Health Therapy
Avg $87.07
2,275,452 claims
Psychiatric Evaluation
Avg $79.56
1,780,978 claims
Urinalysis & Urine Tests
Avg $2.81
1,707,210 claims
X-Ray
Avg $8.24
1,582,408 claims