Average Medicaid Substance Abuse Treatment Payments in Front Royal, VA: $256.36
Avg. Paid
$256.36
Range
$8.68 – $291.27
Total Claims
104,167
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 Front Royal, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Northwestern Community Services Board
209 W Criser Rd |
$291.27 | 91,230 | 79,474 |
|
Pinnacle Treatment Centers Va-I, Llc
10269 Winchester Rd |
$8.68 | 12,837 | 812 |
|
Kali Tichenor
315 W 10Th St Ste B |
$105.06 | 43 | 43 |
|
Nancy Gray Haden
209 W Criser Rd |
$262.71 | 37 | 37 |
|
Andrea J Bieber
209 W Criser Rd Ste 300 |
$275.48 | 20 | 20 |
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 Front Royal, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Front Royal, VA is $256.36 per claim, based on 104,167 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 Front Royal, VA?
There are 5 Medicaid providers offering Substance Abuse Treatment related services in Front Royal, VA according to public payment data.
What is the price range for Substance Abuse Treatment in Front Royal, VA?
Medicaid reimbursement for Substance Abuse Treatment in Front Royal, VA ranges from $8.68 to $291.27 per claim, with an average of $256.36. 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 Front Royal, VA
Office Visit
Avg $58.85
139,810 claims
Blood Work & Lab Tests
Avg $7.35
133,599 claims
Emergency Room Visit
Avg $138.13
85,660 claims
Physical Therapy
Avg $53.43
66,608 claims
Behavioral & Mental Health Therapy
Avg $86.12
56,729 claims
Case Management Services
Avg $323.04
44,331 claims
Psychiatric Evaluation
Avg $84.04
38,441 claims
Speech Therapy
Avg $54.82
34,275 claims