Average Medicaid Substance Abuse Treatment Payments in Helena, MT: $84.39
Avg. Paid
$84.39
Range
$0.00 – $336.21
Total Claims
28,409
Providers
10
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 Helena, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jhg Ventures Inc
833 N Last Chance Gulch |
$105.91 | 8,346 | 1,915 |
|
Helena Indian Alliance Inc
501 Euclid Ave |
$0.00 | 7,091 | 1,608 |
|
Instar Community Services
1826 N Last Chance Gulch |
$66.12 | 4,308 | 1,023 |
|
Tammara Rhodes
3240 Dredge Dr |
$65.49 | 2,366 | 1,158 |
|
Colman Community Services
25 S Ewing St Ste 514 |
$292.96 | 2,037 | 735 |
|
Young Womens Christian Association
501 N Park Ave |
$55.12 | 1,325 | 382 |
|
Boyd Andrew Community Services
60 S Last Chance Gulch |
$62.91 | 1,172 | 288 |
|
Montana Counseling Services Llc
1824 N Last Chance Gulch Ste 1A |
$336.21 | 982 | 315 |
|
Pureview Health Center
1930 9Th Ave |
$0.00 | 757 | 330 |
|
Kristina Lynn Dukart
2001 11Th Ave Ste 18 |
$0.00 | 25 | 18 |
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 Helena, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Helena, MT is $84.39 per claim, based on 28,409 claims from 10 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 Helena, MT?
There are 10 Medicaid providers offering Substance Abuse Treatment related services in Helena, MT according to public payment data.
What is the price range for Substance Abuse Treatment in Helena, MT?
Medicaid reimbursement for Substance Abuse Treatment in Helena, MT ranges from $0.00 to $336.21 per claim, with an average of $84.39. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Other Procedures in Helena, MT
Blood Work & Lab Tests
Avg $0.56
363,316 claims
Office Visit
Avg $67.63
311,254 claims
Psychiatric Evaluation
Avg $64.81
233,254 claims
Physical Therapy
Avg $32.33
219,555 claims
Dental Cleaning & Exam
Avg $30.07
164,772 claims
Behavioral & Mental Health Therapy
Avg $81.01
163,561 claims
Emergency Room Visit
Avg $58.38
111,160 claims
Speech Therapy
Avg $28.32
96,283 claims