Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Philadelphia, PA: $57.23

Avg. Paid

$57.23

Range

$0.00 – $5,867

Total Claims

5,131,687

Providers

140

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 Philadelphia, PA

Provider	Avg. Paid	Claims	Patients
The Behavioral Wellness Center At Girard 801 W Girard Ave	$0.76	659,543	27,544
Northeast Treatment Centers. Inc. 499 N 5Th St	$0.84	638,847	26,629
Merakey Parkside Recovery 5000 Parkside Ave	$0.10	542,935	23,108
Addiction Medicine And Health Advocates, Incorporated 928 Market St	$0.75	451,196	16,949
Thomas Jefferson University 1021 South 21St Street	$0.68	321,318	12,618
Soar Corp 9150 Marshall St	$1.36	315,630	17,994
Merakey Parkside Recovery 5429 Germantown Ave	$0.66	219,859	9,368
Kensington Hospital 2100 N Front St	$0.69	206,842	7,927
Thomas Jefferson University 1233 Locust St	$1.58	201,357	8,502
West Philadelphia Community Mh Consortium Inc. 451 S University Ave	$0.10	185,308	7,248
Merakey Parkside Recovery 1745 N 4Th St	$0.00	169,467	6,707
Corecare Behavioral Health Management, Inc. 111 N 49Th St	$326.81	162,752	10,316
Divine Light Inc 25 Sharpnack Street	$174.35	161,138	15,422
Centralized Comprehensive Human Services, Inc. 907 N Broad St	$0.66	138,536	5,475
Northeast Treatment Centers, Inc. 499 N 5Th St	$127.49	53,832	8,469
Public Health Management Corporation 1500 Market St	$93.84	53,314	16,271
The Behavioral Wellness Center At Girard 801 W Girard Ave	$457.42	51,918	3,345
Pathways To Housing Pa, Inc. 5201 Old York Rd	$110.65	48,752	10,714
Uhs Of Fairmount Inc 561 Fairthorne Ave	$337.29	43,122	3,471
Pmhcc, Inc 123 S Broad St Fl 23	$230.54	39,296	19,874
The Behavioral Wellness Center At Girard 801 W Girard Ave	$355.08	36,159	2,334
House House Rehabilitation Services 120 S 30Th St	$239.16	28,284	3,605
Philadelphia Health Management Corporation 3300 Henry Ave Fl 2	$309.22	21,876	3,529
Path (People Acting To Help), Inc 8220 Castor Ave	$224.65	21,212	2,890
Merakey Parkside Recovery 5820 York Rd	$0.00	21,023	989
Children'S Crisis Treatment Center 1080 N Delaware Ave	$300.17	16,721	2,697
Beacon Point Recovery Center, Llc. 2301 E Allegheny Ave	$1,620	16,240	5,478
Hall-Mercer Cmh-Mrc Of Pennsylvania Hosp 245 S 8Th St	$191.44	15,723	2,230
Gaudenzia Inc 1306 Spring Garden St	$424.38	13,966	1,385
Dr Warren E Smith Community Mental Health Mental Retardation & Substan 1315 Windrim Avenue	$196.66	13,876	2,651
Gaudenzia Inc 1306 Spring Garden St	$294.17	13,583	1,011
The Wedge Medical Center, P.C. 3609 N Broad St	$17.28	13,032	2,103
Resources For Human Development, Inc. 5000 Jackson St	$390.84	12,979	487
Thomas Jefferson University 1239 Spring Garden St	$458.84	12,030	475
Gaudenzia Inc 3025 N Broad St	$702.28	9,565	885
Gaudenzia Drc Inc 3200 Henry Ave	$263.53	9,451	597
Public Health Managment Corporation (Phmc) 2301 E Allegheny Ave	$67.28	9,307	920
Resouces For Human Development, Inc. 219 E High St	$460.12	8,459	342
Intercultural Family Services, Inc. 4254-56 Chestnut Street	$275.10	8,196	1,870
West Philadelphia Community Mh Consortium, Inc. 137 S 58Th St Fl 2	$338.53	7,319	1,261
Southwest Nu-Stop, Inc. 5616 Woodland Ave	$1.62	6,429	972
Men & Women For Human Excellence, Inc. 2603 Cecil B Moore Ave	$0.00	6,346	1,033
Mental Health Partnerships 2709 North Broad Street	$149.69	6,301	2,967
Elwyn Of Pennsylvania And Delaware 12 N Preston St	$209.04	5,984	2,201
Gaudenzia Inc 1306 Spring Garden St	$65.24	5,974	963
Resources For Human Development, Inc. 23 S 44Th St	$376.95	5,893	258
Philadelphia Health Management Corp 1200 Callowhill St	$1.94	5,580	979
Northeast Treatment Centers, Inc 499 N 5Th St	$11.74	5,206	1,507
Wedge Medical Center, Pc 4243 Frankford Avenue	$0.00	5,139	973
Merakey Parkside Recovery 4806 Frankford Ave Fl 2	$0.00	5,113	1,977

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 Philadelphia, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Philadelphia, PA is $57.23 per claim, based on 5,131,687 claims from 140 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 Philadelphia, PA?

There are 140 Medicaid providers offering Substance Abuse Treatment related services in Philadelphia, PA according to public payment data.

What is the price range for Substance Abuse Treatment in Philadelphia, PA?

Medicaid reimbursement for Substance Abuse Treatment in Philadelphia, PA ranges from $0.00 to $5,867 per claim, with an average of $57.23. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Substance Abuse Treatment Payments in Philadelphia, PA: $57.23

Providers Offering Substance Abuse Treatment in Philadelphia, PA

What to Expect: Substance Abuse Treatment

Cost Components

Frequently Asked Questions

Substance Abuse Treatment in Other Cities

Hartford, CT

Phoenix, AZ

Springfield, MA

Baltimore, MD

Portland, OR

Worcester, MA

Bronx, NY

Albuquerque, NM

Other Procedures in Philadelphia, PA

Office Visit

Psychiatric Evaluation

Emergency Room Visit

X-Ray

Behavioral & Mental Health Therapy

Blood Work & Lab Tests

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)