Average Medicaid Substance Abuse Treatment Payments in Hagerstown, MD: $77.30
Avg. Paid
$77.30
Range
$0.00 – $196.53
Total Claims
697,922
Providers
25
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 Hagerstown, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Phoenix Health Center Llc
217 E Antietam St |
$64.57 | 270,537 | 90,038 |
|
Metro Treatment Of Maryland Lp
16110 Everly Rd |
$74.57 | 197,986 | 61,032 |
|
Wells House Inc
330 Frederick St |
$103.78 | 113,682 | 15,668 |
|
Alternative Drug & Alcohol Counseling (Adac)
324 E Antietam St Ste 308 |
$90.52 | 45,145 | 19,002 |
|
Brooke'S House, Inc.
17670 Technology Boulevard |
$76.79 | 22,458 | 3,659 |
|
The W House Of Hagerstown Foundation, Inc
519 N Locust St |
$73.17 | 17,678 | 2,388 |
|
Serenity Treatment Center, Inc.
580 Northern Ave |
$110.78 | 9,040 | 3,257 |
|
Compassionate Wellness Center, Llc
1130 Opal Ct |
$93.03 | 9,010 | 3,562 |
|
Serenity Treatment Center, Inc.
101 Tandy Dr |
$96.76 | 3,711 | 1,708 |
|
Washington County Health Department-Central
13114 Pennsylvania Ave |
$73.01 | 2,365 | 942 |
|
Wells House Inc
124 E Baltimore St |
$61.02 | 1,223 | 147 |
|
Change Health Systems,Inc.
7 N Potomac St |
$115.80 | 1,195 | 280 |
|
Wells House, Inc
324 N Locust St |
$60.25 | 1,086 | 96 |
|
Way Station, Inc.
328 N Potomac St |
$44.81 | 1,058 | 377 |
|
Concerted Care Group Hagerstown, Llc
10354 Supercenter Drive |
$80.34 | 637 | 221 |
|
Brook Lane Behavioral Services, Inc.
18714 N Village |
$45.61 | 387 | 78 |
|
Btst Services Llc
1850 Dual Hwy Ste 200 |
$38.98 | 246 | 234 |
|
Shedrick Family Wellness, Inc
412 N Potomac St Ofc |
$196.53 | 161 | 47 |
|
Heather L Seavolt-Michael
13620 Crayton Boulevard |
$25.35 | 151 | 82 |
|
Phoenix Health Center, Llc
101 King St |
$0.00 | 76 | 73 |
|
The Mental Health Center Of Western Maryland, Inc.
1180 Professional Ct |
$74.97 | 37 | 37 |
|
Compassionate Wellness Center, Llc
1130 Opal Ct |
$68.32 | 15 | 15 |
|
Together Every1 Achieves More Inc.
101 E Franklin St |
$70.05 | 13 | 13 |
|
Brightlife Enhancement Services, L.L.C
226 N Potomac St |
$94.81 | 13 | 13 |
|
Associated Catholic Charities
324 E Antietam St Ste 307A |
$67.68 | 12 | 12 |
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 Hagerstown, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Hagerstown, MD is $77.30 per claim, based on 697,922 claims from 25 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 Hagerstown, MD?
There are 25 Medicaid providers offering Substance Abuse Treatment related services in Hagerstown, MD according to public payment data.
What is the price range for Substance Abuse Treatment in Hagerstown, MD?
Medicaid reimbursement for Substance Abuse Treatment in Hagerstown, MD ranges from $0.00 to $196.53 per claim, with an average of $77.30. 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 Hagerstown, MD
Office Visit
Avg $78.99
1,200,926 claims
Psychiatric Evaluation
Avg $102.16
509,775 claims
Blood Work & Lab Tests
Avg $10.40
456,369 claims
Physical Therapy
Avg $46.83
246,188 claims
Case Management Services
Avg $156.99
236,417 claims
Speech Therapy
Avg $42.48
159,888 claims
X-Ray
Avg $9.05
139,975 claims
Emergency Room Visit
Avg $112.51
119,319 claims