Average Medicaid Substance Abuse Treatment Payments in Marion, IL: $80.58
Avg. Paid
$80.58
Range
$53.00 – $128.25
Total Claims
41,950
Providers
8
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 Marion, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Centerstone Of Illinois, Inc
1307 W Main St |
$88.14 | 23,416 | 8,568 |
|
Cneterstone Of Illinois Inc
3111 Williamson County Pkwy |
$83.24 | 9,145 | 4,062 |
|
Centerstone Of Illinois Inc
1307 W Main St |
$53.00 | 6,201 | 2,230 |
|
Lutheran Social Services Of Il
1616 W Main St |
$55.70 | 2,190 | 823 |
|
Tim Buehler
812 Skyline Dr Ste 200 |
$128.25 | 417 | 157 |
|
Centerstone Of Illinois, Inc
202 S Bentley St |
$79.27 | 328 | 230 |
|
Jennifer Martin
812 Skyline Dr Ste 200 |
$115.08 | 188 | 78 |
|
Centerstone Of Illinois, Inc
202 S Bentley St |
$53.07 | 65 | 44 |
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 Marion, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Marion, IL is $80.58 per claim, based on 41,950 claims from 8 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 Marion, IL?
There are 8 Medicaid providers offering Substance Abuse Treatment related services in Marion, IL according to public payment data.
What is the price range for Substance Abuse Treatment in Marion, IL?
Medicaid reimbursement for Substance Abuse Treatment in Marion, IL ranges from $53.00 to $128.25 per claim, with an average of $80.58. 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
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
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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
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
Other Procedures in Marion, IL
Office Visit
Avg $12.55
358,121 claims
Eye Exam
Avg $24.98
218,058 claims
Home Health Visit
Avg $6.40
195,321 claims
Speech Therapy
Avg $12.60
130,364 claims
Vaccines & Immunizations
Avg $1.73
92,173 claims
Blood Work & Lab Tests
Avg $18.16
76,873 claims
Emergency Room Visit
Avg $92.19
65,663 claims
Ultrasound
Avg $42.41
42,393 claims