Average Medicaid Substance Abuse Treatment Payments in Montrose, CO: $81.04
Avg. Paid
$81.04
Range
$0.00 – $317.95
Total Claims
105,998
Providers
19
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 Montrose, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Toc, Inc
1100 E Main St Ste A |
$84.76 | 87,684 | 6,278 |
|
Sarah Grace Stangebye
95 Merchant Dr Ste B-1 |
$75.63 | 6,740 | 2,176 |
|
Megan M Outlaw
605 Miami Rd |
$59.41 | 5,487 | 1,457 |
|
Brenda Lee Hubbard
1230 N Grand Ave |
$61.13 | 1,313 | 307 |
|
Miranda Franklin
2130 E Main St |
$56.71 | 1,173 | 291 |
|
Alexis A Baca-Spry
321 S. 1St St., #877 |
$24.79 | 1,019 | 608 |
|
Samantha Peel
605 Miami Rd |
$0.37 | 598 | 90 |
|
Laura Ann Ickes
87 Merchant Dr |
$2.59 | 468 | 225 |
|
Southwest Colorado Mental Health Center Inc Dba Axis Health System
300 N Cascade Ave Ste A |
$302.25 | 391 | 60 |
|
Southwest Colorado Mental Health Center Inc
605 Miami Rd |
$1.00 | 372 | 147 |
|
Kathleen Farley Burnell
605 Miami Rd |
$0.09 | 168 | 142 |
|
Rebecca Lister
605 Miami Rd |
$0.00 | 136 | 106 |
|
William Richard Cooper
121 N Park Ave |
$51.20 | 133 | 45 |
|
Benjamin Drew Sanders
605 Miami Rd |
$0.00 | 103 | 29 |
|
Southwest Colorado Mental Health Center Inc Dba Axis Health System
300 N Cascade Ave Ste A |
$0.68 | 86 | 52 |
|
Kristi Michelle Edwards
543 S 2Nd St |
$317.95 | 41 | 16 |
|
James Edward Hagins
605 Miami Rd |
$0.00 | 34 | 13 |
|
Nicolas Todd Taylor
242 W Main St |
$116.38 | 30 | 16 |
|
Erik Scott Cooper
543 S 2Nd St |
$295.72 | 22 | 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 Montrose, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Montrose, CO is $81.04 per claim, based on 105,998 claims from 19 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 Montrose, CO?
There are 19 Medicaid providers offering Substance Abuse Treatment related services in Montrose, CO according to public payment data.
What is the price range for Substance Abuse Treatment in Montrose, CO?
Medicaid reimbursement for Substance Abuse Treatment in Montrose, CO ranges from $0.00 to $317.95 per claim, with an average of $81.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Montrose, CO
Home Health Visit
Avg $23.64
326,990 claims
Office Visit
Avg $75.58
235,506 claims
Dental Cleaning & Exam
Avg $32.45
216,232 claims
Non-Emergency Medical Transportation
Avg $20.33
119,133 claims
Personal Care Services
Avg $24.35
87,515 claims
Blood Work & Lab Tests
Avg $5.56
67,159 claims
Emergency Room Visit
Avg $110.30
65,162 claims
Physical Therapy
Avg $20.27
59,829 claims