Average Medicaid Substance Abuse Treatment Payments in Des Moines, IA: $8.26
Avg. Paid
$8.26
Range
$0.00 – $121.37
Total Claims
54,274
Providers
14
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 Des Moines, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Orchard Place
808 5Th Ave |
$0.00 | 28,210 | 27,819 |
|
Eyerly Ball Community Mental Health Services
1301 Center St |
$0.34 | 6,590 | 6,361 |
|
Broadlawns Medical Center
1801 Hickman Rd |
$0.00 | 5,190 | 3,753 |
|
Sophia Kang
1111 6Th Ave # W3 |
$39.38 | 5,151 | 702 |
|
House Of Mercy
1409 Clark St |
$14.28 | 2,418 | 508 |
|
Christopher M Covert
1221 Pleasant St |
$0.00 | 1,704 | 71 |
|
Youth Emergency Services & Shelter Of Iowa
918 Se 11Th St |
$0.00 | 1,556 | 1,530 |
|
Sara Katherine Lockner
700 E University Ave |
$80.51 | 1,172 | 160 |
|
Covert Action Llc
1223 Center St Ste 22 |
$0.00 | 616 | 34 |
|
Leonard S Richards
1301 Penn Ave |
$121.37 | 607 | 88 |
|
Patricia A Rogness
1111 University Ave |
$43.84 | 541 | 180 |
|
Kristin Kay Raudabaugh
3451 Easton Blvd |
$39.33 | 249 | 57 |
|
Jolena Michelle Perri
1409 Clark St |
$35.98 | 147 | 26 |
|
Claire Ryden Maxey
1221 Pleasant St Ste 200 |
$15.25 | 123 | 113 |
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 Des Moines, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Des Moines, IA is $8.26 per claim, based on 54,274 claims from 14 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 Des Moines, IA?
There are 14 Medicaid providers offering Substance Abuse Treatment related services in Des Moines, IA according to public payment data.
What is the price range for Substance Abuse Treatment in Des Moines, IA?
Medicaid reimbursement for Substance Abuse Treatment in Des Moines, IA ranges from $0.00 to $121.37 per claim, with an average of $8.26. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Des Moines, IA
Office Visit
Avg $32.61
1,644,515 claims
Blood Work & Lab Tests
Avg $4.48
1,009,999 claims
Psychiatric Evaluation
Avg $74.70
882,204 claims
Emergency Room Visit
Avg $135.04
702,067 claims
Vaccines & Immunizations
Avg $14.31
507,649 claims
Dental Cleaning & Exam
Avg $23.97
466,251 claims
Personal Care Services
Avg $68.74
403,169 claims
Case Management Services
Avg $98.76
274,116 claims