Average Medicaid Substance Abuse Treatment Payments in Raleigh, NC: $63.03
Avg. Paid
$63.03
Range
$0.00 – $349.66
Total Claims
671,403
Providers
34
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 Raleigh, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southlight Healthcare
2101 Garner Rd |
$43.25 | 361,714 | 23,928 |
|
Morse Clinic Of North Raleigh, Pc
3209 Gresham Lake Rd |
$37.54 | 162,242 | 8,391 |
|
Cottage Health Care Services, Inc
3826 Bland Rd |
$126.46 | 32,480 | 5,763 |
|
Voice Therapeutic Solutions Pllc
1073 Bullard Ct |
$137.03 | 23,258 | 4,926 |
|
Quality Care Solutions
3824 Barrett Dr Ste 105 |
$121.32 | 19,323 | 2,387 |
|
Fernandez Community Center, Llc
8522 Six Forks Rd Ste 102 |
$113.43 | 9,362 | 1,301 |
|
Crandell'S Enterprise'S Inc.
5312 Six Forks Rd |
$321.60 | 8,056 | 649 |
|
Benjamin Powell
2101 Garner Rd |
$13.53 | 4,999 | 270 |
|
Carolina Outreach, Llc
3012 Falstaff Rd |
$178.35 | 4,860 | 573 |
|
University Of North Carolina Hospitals At Chapel Hill
107 Sunnybrook Rd |
$297.48 | 4,423 | 736 |
|
Royale Healthcare, Llc
8398 Six Forks Rd Ste 202 |
$116.00 | 3,964 | 500 |
|
Carter Clinic, P A
4009 Barrett Dr |
$67.83 | 3,933 | 447 |
|
Southeastern Healthcare Of North Carolina, Inc.
3401 Carl Sandburg Ct |
$124.03 | 3,295 | 502 |
|
Nc Recovery Support Services
1100 Navaho Dr |
$135.48 | 3,278 | 332 |
|
Easter Seals Ucp North Carolina & Virginia, Inc.
5000 Falls Of Neuse Rd Ste 300 |
$349.66 | 3,066 | 637 |
|
Edward Hoggard
4024 Barrett Dr |
$110.85 | 3,041 | 181 |
|
Southlight Healthcare
2101 Garner Rd |
$124.71 | 2,621 | 413 |
|
Sigma Health Services Llc
1001 Navaho Dr Ste Gl150 |
$126.46 | 2,590 | 407 |
|
Challenging Choices Llc
5300 Six Forks Rd Ste 207 |
$151.56 | 2,546 | 296 |
|
Easter Seals Ucp North Carolina & Virginia, Inc.
5171 Glenwood Ave |
$109.62 | 2,504 | 441 |
|
Shannon R Brennan
7406 Chapel Hill Road |
$96.78 | 2,489 | 899 |
|
Autism Society Of North Carolina, Inc.
5121 Kingdom Way Ste 100 |
$40.03 | 2,014 | 187 |
|
Metro Treatment Of North Carolina L P
3911 New Bern Ave Unit A |
$104.18 | 1,741 | 405 |
|
Blessing Care Services
1526 Mark Massengill Dr |
$134.54 | 1,065 | 145 |
|
William Frierson
2610 Garden Hill Dr Apt 202 |
$7.22 | 773 | 83 |
|
Neal Brown
5509 Creedmoor Rd |
$5.86 | 520 | 49 |
|
Turning Point Family Care Llc
2000 Yonkers Rd |
$91.95 | 349 | 90 |
|
Ats Of North Carolina, Llc
6118 Saint Giles St Ste 130 |
$208.12 | 196 | 55 |
|
Gerald W Lankford
1601 Jones Franklin Rd |
$3.88 | 196 | 125 |
|
Lauren Baker
9205 Baileywick Rd Ste 200 |
$2.85 | 176 | 108 |
|
Kimberly Hall Currin
3117 Poplarwood Ct Ste 115 |
$0.00 | 129 | 29 |
|
Tiandrea Scriven
1008 Bullard Ct |
$55.65 | 113 | 71 |
|
Tiffanie Gambrell Cotten
3801 Lake Boone Trl Ste 100 |
$134.80 | 49 | 14 |
|
Spencer E Simon
3000 New Bern Ave |
$4.98 | 38 | 29 |
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 Raleigh, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Raleigh, NC is $63.03 per claim, based on 671,403 claims from 34 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 Raleigh, NC?
There are 34 Medicaid providers offering Substance Abuse Treatment related services in Raleigh, NC according to public payment data.
What is the price range for Substance Abuse Treatment in Raleigh, NC?
Medicaid reimbursement for Substance Abuse Treatment in Raleigh, NC ranges from $0.00 to $349.66 per claim, with an average of $63.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
Hartford, CT
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
7,464,932 claims · 477 providers
Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
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 Raleigh, NC
Blood Work & Lab Tests
Avg $14.74
2,273,950 claims
Office Visit
Avg $59.24
1,603,097 claims
Emergency Room Visit
Avg $139.82
911,865 claims
Dental Cleaning & Exam
Avg $29.35
889,864 claims
Psychiatric Evaluation
Avg $74.92
754,370 claims
Vaccines & Immunizations
Avg $16.76
580,140 claims
Speech Therapy
Avg $62.41
512,881 claims
X-Ray
Avg $8.62
444,429 claims