Average Medicaid Substance Abuse Treatment Payments in Henderson, NC: $51.81
Avg. Paid
$51.81
Range
$4.52 – $170.03
Total Claims
223,793
Providers
9
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 Henderson, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vance Recovery, Pc
510 Dabney Dr |
$47.99 | 210,815 | 14,643 |
|
Moment Of Change Counseling Services, Pllc
106 Wortham Ct |
$145.49 | 6,768 | 748 |
|
Daymark Recovery Services Inc
943 West Andrews Ave |
$55.84 | 2,507 | 368 |
|
Dreams To Life Llc
112 W Winder St |
$159.40 | 1,604 | 234 |
|
Lisa M Sutton
1101 Roanoke Ave |
$6.09 | 863 | 77 |
|
Peak Community Health, Inc
404 N Garnett St Ste 100 |
$112.19 | 535 | 75 |
|
Jessica Boyd Sharon
510 Dabney Dr Ste B |
$4.52 | 439 | 37 |
|
Legacy Human Services, Inc.
510 Dabney Dr |
$170.03 | 162 | 12 |
|
Vance Recovery, Pc
510 Dabney Dr |
$22.48 | 100 | 14 |
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 Henderson, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Henderson, NC is $51.81 per claim, based on 223,793 claims from 9 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 Henderson, NC?
There are 9 Medicaid providers offering Substance Abuse Treatment related services in Henderson, NC according to public payment data.
What is the price range for Substance Abuse Treatment in Henderson, NC?
Medicaid reimbursement for Substance Abuse Treatment in Henderson, NC ranges from $4.52 to $170.03 per claim, with an average of $51.81. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $14.18
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Phoenix, AZ
Avg $94.34
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Springfield, MA
Avg $20.44
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Baltimore, MD
Avg $107.97
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Portland, OR
Avg $37.53
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Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Henderson, NC
Office Visit
Avg $50.11
248,397 claims
Vaccines & Immunizations
Avg $11.96
176,741 claims
Blood Work & Lab Tests
Avg $5.30
127,668 claims
Emergency Room Visit
Avg $101.00
112,702 claims
Dental Cleaning & Exam
Avg $26.92
108,846 claims
Durable Medical Equipment (DME)
Avg $24.67
69,649 claims
Urinalysis & Urine Tests
Avg $3.02
55,323 claims
Psychiatric Evaluation
Avg $68.01
47,814 claims