Average Medicaid Substance Abuse Treatment Payments in Gurnee, IL: $58.59
Avg. Paid
$58.59
Range
$21.64 – $72.95
Total Claims
5,327
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 Gurnee, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gateway Foundation Inc.
222 S Greenleaf St |
$70.00 | 2,078 | 326 |
|
One Hope United
1790 Nations Dr |
$72.95 | 1,861 | 556 |
|
Melanie Amin
15 Tower Ct Ste 300 |
$21.64 | 1,222 | 202 |
|
Michael Henry Oster
34555 N Red Oak Ln |
$25.07 | 149 | 134 |
|
The Thresholds
4343 Old Grand Ave |
$43.29 | 17 | 15 |
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 Gurnee, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Gurnee, IL is $58.59 per claim, based on 5,327 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 Gurnee, IL?
There are 5 Medicaid providers offering Substance Abuse Treatment related services in Gurnee, IL according to public payment data.
What is the price range for Substance Abuse Treatment in Gurnee, IL?
Medicaid reimbursement for Substance Abuse Treatment in Gurnee, IL ranges from $21.64 to $72.95 per claim, with an average of $58.59. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Gurnee, IL
Office Visit
Avg $54.29
154,245 claims
Eye Exam
Avg $32.45
106,943 claims
Dental Cleaning & Exam
Avg $33.49
66,980 claims
Speech Therapy
Avg $18.91
57,240 claims
Vaccines & Immunizations
Avg $15.94
38,377 claims
EKG / ECG (Electrocardiogram)
Avg $8.35
29,954 claims
X-Ray
Avg $5.53
24,359 claims
Emergency Room Visit
Avg $68.10
19,293 claims