Average Medicaid Substance Abuse Treatment Payments in Saint Louis, MO: $58.36
Avg. Paid
$58.36
Range
$0.00 – $143.31
Total Claims
590,079
Providers
69
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 Saint Louis, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Raksha Soora
1031 Bellevue Ave Ste 400 |
$24.00 | 12 | 12 |
|
Brandy Ladora Macon
4414 N Florissant Ave |
$9.30 | 15 | 14 |
|
Sarah Christine Gebauer
4580 S Lindbergh Blvd |
$10.98 | 18 | 15 |
|
Richard Gerald Bolanos
4352 Manchester Ave |
$8.11 | 19 | 14 |
|
Jaime E Flores Ruiz
1 Barnes Jewish Hospital Plz |
$8.15 | 25 | 24 |
|
Shaukat Chaudhry
5535 Delmar Blvd |
$9.22 | 29 | 28 |
|
Katy Schweiss Speckmeyer
1430 Olive St |
$0.00 | 34 | 32 |
|
Jeffrey Gruszka Best
1 Brookings Dr |
$0.00 | 36 | 27 |
|
Hari Krishna Nallapaneni
2220 Lemp Ave |
$9.56 | 54 | 49 |
|
Kelcey A Depass
3930 S Broadway |
$14.50 | 56 | 50 |
|
Sidreta Zuko
1430 Olive St Ste 400 |
$0.00 | 61 | 45 |
|
Angela M Schiefelbein
3930 S Broadway |
$16.84 | 67 | 61 |
|
Minetta Marie Griffin
1430 Olive St Ste 400 |
$10.20 | 70 | 65 |
|
Sravya Motheramgari
4414 N Florissant Ave |
$12.58 | 71 | 62 |
|
New Beginnings C-Star, Inc
3901 Union Blvd |
$48.57 | 77 | 13 |
|
Mihiret M Belihu
615 S New Ballas Rd |
$13.56 | 86 | 85 |
|
Summer Yvonne Boyer
4251 Forest Park Ave |
$8.27 | 95 | 86 |
|
Mark Charles Howard
3009 N Ballas Rd Ste 387C |
$0.00 | 120 | 120 |
|
Mohd Azfar Malik
763 S New Ballas Rd |
$143.31 | 135 | 32 |
|
Crystal Wilson
970 Executive Parkway Dr |
$0.00 | 138 | 83 |
|
Kristia P Abernathy
4414 N Florissant Ave |
$15.93 | 144 | 137 |
|
Kimberly Ann Henry
2220 Lemp Ave |
$1.93 | 163 | 140 |
|
Bjc Behavioral Health
3309 S Kingshighway Blvd |
$0.00 | 168 | 73 |
|
Jessica Michajlyszyn Despotovic
6763 Page Ave |
$9.56 | 196 | 178 |
|
Kenneth Edmond Hemba
4352 Manchester Ave |
$15.25 | 233 | 213 |
|
Alexa Arastoo
1717 Biddle St |
$15.03 | 335 | 332 |
|
Patrick Schoenwalder
1717 Biddle St |
$8.44 | 357 | 347 |
|
Thomas Patrick Kuciejczyk-Kernan
3930 S Broadway |
$14.73 | 411 | 391 |
|
Mary Bridget Keegan
3930 S Broadway |
$12.67 | 419 | 393 |
|
Jessica Norton
1 Barnes Jewish Hospital Plz |
$14.85 | 609 | 570 |
|
Places For People, Inc
1001 Lynch St |
$0.00 | 631 | 200 |
|
Larina Jolynn Ditto
9200 Watson Rd |
$0.00 | 650 | 382 |
|
Michelle Mullin
2220 Lemp Ave |
$8.84 | 659 | 607 |
|
Places For People, Inc.
1001 Lynch St |
$0.00 | 695 | 169 |
|
Catherine Ruth Moore
615 S New Ballas Rd |
$13.10 | 760 | 730 |
|
Anita B Polzin
4066 Dunnica Ave |
$61.66 | 1,072 | 323 |
|
Melissa Dawn Tepe
2220 Lemp Ave |
$11.95 | 1,331 | 1,117 |
|
Preferred Family Healthcare, Inc.
1714 Deer Tracks Trl Ste 225 |
$0.00 | 1,352 | 373 |
|
Manuela Mejia
2220 Lemp Ave |
$16.14 | 1,355 | 1,076 |
|
Melissa Craig
11102 Lindbergh Business Ct |
$0.00 | 1,606 | 984 |
|
Timothy J Mccann
1717 Biddle St |
$10.92 | 1,661 | 1,580 |
|
Tiffany Nicole Wymore
9666 Olive Blvd Ste 370 |
$0.00 | 1,676 | 472 |
|
Micaela Erin O'Neil-Callahan
615 S New Ballas Rd |
$14.89 | 1,924 | 1,854 |
|
Kara A Dial
10820 Sunset Office Dr Ste 220 |
$0.00 | 1,964 | 1,025 |
|
Vani Pachalla
2220 Lemp Ave |
$14.66 | 2,130 | 2,052 |
|
Margaret E. Baum
2220 Lemp Ave |
$9.56 | 2,213 | 1,672 |
|
David Almon Miller
2220 Lemp Ave |
$12.14 | 2,662 | 2,548 |
|
Adapt Of Missouri, Llc
2301 Hampton Ave |
$116.39 | 2,672 | 1,024 |
|
Stephanie Miller
2220 Lemp Ave |
$13.76 | 4,316 | 3,676 |
|
New Beginnings C Star, Inc
3901 Union Blvd |
$51.75 | 4,461 | 1,175 |
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 Saint Louis, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Saint Louis, MO is $58.36 per claim, based on 590,079 claims from 69 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 Saint Louis, MO?
There are 69 Medicaid providers offering Substance Abuse Treatment related services in Saint Louis, MO according to public payment data.
What is the price range for Substance Abuse Treatment in Saint Louis, MO?
Medicaid reimbursement for Substance Abuse Treatment in Saint Louis, MO ranges from $0.00 to $143.31 per claim, with an average of $58.36. 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 Saint Louis, MO
Office Visit
Avg $61.54
2,573,779 claims
Behavioral & Mental Health Therapy
Avg $92.81
2,183,655 claims
Emergency Room Visit
Avg $128.84
1,505,298 claims
X-Ray
Avg $8.09
1,400,446 claims
Blood Work & Lab Tests
Avg $29.33
1,334,001 claims
Home Health Visit
Avg $111.76
658,871 claims
EKG / ECG (Electrocardiogram)
Avg $13.59
515,605 claims
CT Scan (Computed Tomography)
Avg $44.05
443,335 claims