Average Medicaid Substance Abuse Treatment Payments in Rockford, IL: $77.00
Avg. Paid
$77.00
Range
$27.53 – $122.19
Total Claims
213,322
Providers
18
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 Rockford, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rosecrance Inc
2704 N Main St |
$77.34 | 106,938 | 42,983 |
|
Rosecrance, Inc.
8616 Northern Ave |
$76.99 | 22,114 | 10,703 |
|
Stepping Stones Of Rockford, Inc
706 N Main St |
$113.48 | 21,743 | 8,956 |
|
Remedies Renewing Lives
215 Easton Pkwy |
$53.73 | 21,337 | 6,000 |
|
Rosecrance, Inc.
2704 N Main St |
$68.65 | 12,688 | 1,365 |
|
Rosecrance Inc
3815 Harrison Ave |
$69.23 | 10,443 | 2,244 |
|
Rosecrance Inc
526 W State St |
$62.66 | 9,069 | 968 |
|
Children'S Home And Aid
424 7Th St |
$115.47 | 2,569 | 1,065 |
|
Youth Services Network
107 N 3Rd St |
$32.73 | 2,496 | 716 |
|
Remedies Renewing Lives
215 Easton Pkwy |
$99.32 | 1,045 | 381 |
|
Lutheran Social Services Of Il
308 W State St Ste 250 |
$100.52 | 887 | 380 |
|
Rosecrance Inc
605 Mulberry St |
$44.42 | 626 | 395 |
|
Rosecrance, Inc.
8616 Northern Ave |
$58.57 | 370 | 129 |
|
Stephanie Yates
6072 Brynwood Dr Ste 107 |
$27.53 | 273 | 199 |
|
Rosecrance Inc
1601 University Dr |
$122.19 | 259 | 188 |
|
Camelot Care Centers, Llc.
5301 E State St |
$37.61 | 236 | 55 |
|
David L Wright
612 Roxbury Road |
$32.53 | 212 | 164 |
|
Ranjit Batth
6653 Weaver Rd |
$70.04 | 17 | 15 |
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 Rockford, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Rockford, IL is $77.00 per claim, based on 213,322 claims from 18 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 Rockford, IL?
There are 18 Medicaid providers offering Substance Abuse Treatment related services in Rockford, IL according to public payment data.
What is the price range for Substance Abuse Treatment in Rockford, IL?
Medicaid reimbursement for Substance Abuse Treatment in Rockford, IL ranges from $27.53 to $122.19 per claim, with an average of $77.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $20.44
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Avg $38.59
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Avg $34.24
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Other Procedures in Rockford, IL
Office Visit
Avg $30.80
1,227,594 claims
Blood Work & Lab Tests
Avg $4.91
864,122 claims
Dental Cleaning & Exam
Avg $30.40
556,400 claims
X-Ray
Avg $7.26
279,317 claims
Vaccines & Immunizations
Avg $3.11
257,183 claims
Speech Therapy
Avg $17.51
256,309 claims
Urinalysis & Urine Tests
Avg $1.91
245,520 claims
Emergency Room Visit
Avg $69.98
227,177 claims