Average Medicaid Substance Abuse Treatment Payments in Sandusky, OH: $107.73
Avg. Paid
$107.73
Range
$13.02 – $294.28
Total Claims
49,283
Providers
41
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 Sandusky, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Teresa Lynn Schmidt
1634 Sycamore Line |
$97.80 | 14 | 14 |
|
John David Poole
1925 Hayes Ave |
$19.31 | 14 | 14 |
|
Teri Lynn Meyers
1012 E Perkins Ave |
$32.13 | 21 | 12 |
|
Sarah Jean Newland
1036 Cleveland Rd |
$28.80 | 21 | 15 |
|
Katheryn D. Mueller
1845 Superior St |
$27.89 | 43 | 17 |
|
Chelsee Ty Smith
1634 Sycamore Line |
$13.02 | 59 | 39 |
|
Megan Marie Olmstead
1634 Sycamore Line |
$78.71 | 60 | 27 |
|
Sheila M Piatek
1925 Hayes Ave |
$95.61 | 117 | 59 |
|
Christine Elizabeth Budka
1925 Hayes Ave |
$55.04 | 131 | 44 |
|
Wende Rae Meeks
1925 Hayes Ave |
$61.50 | 153 | 61 |
|
Lauren Pringle
1634 Sycamore Line |
$57.80 | 172 | 89 |
|
Trisha Simecek
1036 Cleveland Rd |
$27.46 | 211 | 157 |
|
Ariel Lee Booth
1012 E Perkins Ave |
$149.51 | 222 | 167 |
|
Skyla M Willett
1012 E Perkins Ave |
$39.51 | 237 | 191 |
|
Agnes Soos-Toldy
1634 Sycamore Line |
$87.81 | 289 | 139 |
|
Molly Teegarden
1925 Hayes Ave |
$125.44 | 292 | 121 |
|
Kristina Marie Flesher
1925 Hayes Ave |
$47.78 | 312 | 133 |
|
Dzanela Sehic
1012 E Perkins Ave |
$27.13 | 314 | 260 |
|
Kathryn N Taggart
1925 Hayes Ave |
$60.19 | 382 | 205 |
|
Marina Marie Trent
1925 Hayes Ave |
$77.61 | 382 | 227 |
|
Andrea Catherine Pappas
1012 E Perkins Ave |
$126.44 | 387 | 134 |
|
Ana Justine Pool
1012 E Perkins Ave |
$267.10 | 397 | 277 |
|
Karina Matthews
1634 Sycamore Line |
$86.30 | 429 | 183 |
|
Julia B. Luevano
1634 Sycamore Line |
$77.95 | 441 | 193 |
|
Isabel Leigh-Ann Sanchez
420 Superior St |
$62.94 | 447 | 153 |
|
Mary Zimmerman
1925 Hayes Ave |
$97.46 | 559 | 189 |
|
Stefani N Clifton
1012 E Perkins Ave |
$77.13 | 566 | 231 |
|
Firelands Regional Medical Center
1925 Hayes Ave |
$40.86 | 628 | 222 |
|
Alphonso Darden
1634 Sycamore Line |
$20.75 | 687 | 321 |
|
Jessica Marie Wallace
1012 E Perkins Ave |
$294.28 | 852 | 547 |
|
Melissa Fowler
1218 Cleveland Rd |
$69.94 | 911 | 509 |
|
Martina Trevino
1925 Hayes Ave |
$119.60 | 976 | 395 |
|
Brad Downing
1634 Sycamore Line |
$54.19 | 1,061 | 476 |
|
Max King
420 Superior St |
$65.45 | 1,518 | 737 |
|
Jacquelyn Joanne Vanscoder
1634 Sycamore Line |
$146.67 | 1,572 | 202 |
|
Bayshore Counseling Services, Inc.
1634 Sycamore Line |
$47.77 | 2,248 | 658 |
|
Joseph Andrew Borgelt
420 Superior St |
$124.18 | 3,081 | 764 |
|
Firelands Regional Medical Center
1925 Hayes Ave |
$64.81 | 4,141 | 1,428 |
|
Amanda Thomas
1634 Sycamore Line |
$97.07 | 5,117 | 1,618 |
|
Firelands Regional Medical Center
1111 Hayes Ave |
$70.22 | 5,174 | 1,540 |
|
Charlene Jeanette Adams
1518 Pearl Street |
$153.37 | 14,645 | 875 |
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 Sandusky, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Sandusky, OH is $107.73 per claim, based on 49,283 claims from 41 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 Sandusky, OH?
There are 41 Medicaid providers offering Substance Abuse Treatment related services in Sandusky, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Sandusky, OH?
Medicaid reimbursement for Substance Abuse Treatment in Sandusky, OH ranges from $13.02 to $294.28 per claim, with an average of $107.73. 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 Sandusky, OH
Office Visit
Avg $42.41
466,031 claims
Home Health Visit
Avg $43.27
438,677 claims
Blood Work & Lab Tests
Avg $5.88
227,097 claims
Emergency Room Visit
Avg $84.02
175,771 claims
Psychiatric Evaluation
Avg $78.08
130,688 claims
Vaccines & Immunizations
Avg $6.81
94,659 claims
Dental Cleaning & Exam
Avg $20.10
94,171 claims
Physical Therapy
Avg $26.02
94,042 claims