Average Medicaid Substance Abuse Treatment Payments in Rochester, MN: $161.27
Avg. Paid
$161.27
Range
$13.02 – $2,014
Total Claims
481,555
Providers
43
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 Rochester, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tiffany Leigh Hunsley
25 16Th St Ne |
$142.52 | 27 | 27 |
|
Lisa Shoberg-Weiner
200 1St St Sw |
$360.55 | 33 | 14 |
|
Anna L. Woolley
343 Woodlake Dr Se |
$109.60 | 35 | 12 |
|
Jeremy Shane Van Tassel
1112 7Th St Nw |
$80.37 | 37 | 36 |
|
Stephanie Marie Lewerke
3535 40Th Ave Nw Ste 210 |
$38.02 | 42 | 23 |
|
James Patrick Benson
2360 N Broadway |
$98.29 | 78 | 59 |
|
Joshua Russell Kaus
2443 Clare Ln Ne Ste 100 |
$271.66 | 91 | 37 |
|
Krista Lynne Ripley
343 Woodlake Dr Se |
$81.88 | 111 | 55 |
|
Diann Irene Renaas
1530 Assisi Dr Nw |
$100.79 | 135 | 77 |
|
Jenna G Goldsmith
343 Woodlake Dr Se |
$58.98 | 161 | 40 |
|
Natasha Lynn Duellman
25 16Th St Ne |
$260.14 | 174 | 43 |
|
Nicole Marie Blanchard-Van Tassel
343 Woodlake Dr Se |
$78.97 | 179 | 57 |
|
Crista Renaux Martinez
1530 Assisi Dr Nw |
$62.04 | 216 | 78 |
|
Sean Haggerty
343 Woodlake Dr Se |
$93.80 | 248 | 109 |
|
Roxanne M Paulson
200 1St St Sw |
$213.79 | 346 | 178 |
|
Danielle Elizabeth Fanslow
29 7Th St Ne |
$127.34 | 361 | 98 |
|
Shelby Elizabeth Klein
401 16Th St Se Ste 300 |
$64.44 | 401 | 137 |
|
Barbara A Baker
200 1St St Sw |
$57.59 | 409 | 167 |
|
Diane Wolfe-Plantz
343 Woodlake Dr Se |
$84.64 | 449 | 145 |
|
Andrea K Salzmann
4600 18Th Ave Nw |
$62.08 | 539 | 203 |
|
Georgena R Fail
200 1St St Sw |
$18.85 | 947 | 188 |
|
Corey Robert Kanz
343 Woodlake Dr Se |
$172.59 | 1,280 | 460 |
|
Heidi Lynn Kolbe
602 11Th Ave Nw Ste 300 |
$156.21 | 1,283 | 331 |
|
Gregory Scott Jerdon
401 16Th St Se Ste 100 |
$95.09 | 1,351 | 579 |
|
Choua Vue-Brabant
200 1St St Sw |
$115.95 | 1,694 | 287 |
|
The Gables, Inc.
604 5Th St Sw |
$705.28 | 1,879 | 606 |
|
Pathway House Women'S Program, Inc
103 6Th Ave Sw |
$647.54 | 2,030 | 774 |
|
The Gables Llc
604 5Th St Sw |
$2,014 | 2,326 | 1,966 |
|
Spencer Pfeifer
343 Woodlake Dr Se |
$92.66 | 2,688 | 408 |
|
Malia Anne Ray
1027 7Th St Nw Ste 202 |
$13.59 | 4,550 | 193 |
|
Kendra Henry
2212 2Nd St Sw Unit 1 |
$70.55 | 4,859 | 1,385 |
|
Timothy John Volz
2510 Superior Dr Nw Ste C |
$88.33 | 5,199 | 777 |
|
Zumbro Valley Health Center
343 Wood Lake Drive Se |
$98.45 | 5,278 | 1,709 |
|
Pathway House, Inc
613 2Nd St Sw |
$592.34 | 5,991 | 1,992 |
|
Doc'S Recovery House
1821 Restoration Rd Sw |
$62.56 | 21,751 | 1,328 |
|
Dunatos, Inc.
602 11Th Ave Nw |
$78.17 | 22,306 | 4,825 |
|
Oakridge Treatment Center Llc
4800 48Th St Ne |
$839.09 | 25,483 | 7,842 |
|
Minnesota Teen Challenge
1542 Assisi Drive Nw |
$280.29 | 35,007 | 5,663 |
|
Thomas R Harman
3070 Wellner Dr Ne |
$13.02 | 37,138 | 1,411 |
|
Recovery Is Happening
25 16Th St Ne |
$97.88 | 45,789 | 8,352 |
|
Miller Chemical Health Service Inc
1027 7Th St Nw Ste 207 |
$97.08 | 59,715 | 9,252 |
|
Minnesota Teen Challenge, Inc.
1530 Assisi Dr Nw |
$222.73 | 77,945 | 12,302 |
|
Metro Treatment Of Minnesota Lp
2360 N Broadway |
$13.89 | 110,994 | 5,211 |
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 Rochester, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Rochester, MN is $161.27 per claim, based on 481,555 claims from 43 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 Rochester, MN?
There are 43 Medicaid providers offering Substance Abuse Treatment related services in Rochester, MN according to public payment data.
What is the price range for Substance Abuse Treatment in Rochester, MN?
Medicaid reimbursement for Substance Abuse Treatment in Rochester, MN ranges from $13.02 to $2,014 per claim, with an average of $161.27. 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 Rochester, MN
Blood Work & Lab Tests
Avg $8.02
724,935 claims
Office Visit
Avg $73.40
314,133 claims
Emergency Room Visit
Avg $154.08
291,969 claims
Non-Emergency Medical Transportation
Avg $21.92
218,514 claims
X-Ray
Avg $9.48
212,589 claims
Ambulance Transport
Avg $242.27
175,972 claims
EKG / ECG (Electrocardiogram)
Avg $7.67
130,505 claims
Psychiatric Evaluation
Avg $110.45
123,313 claims