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Based on public Medicaid payment data.

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
Charlene Jeanette Adams

1518 Pearl Street

$153.37 14,645 875
Firelands Regional Medical Center

1111 Hayes Ave

$70.22 5,174 1,540
Amanda Thomas

1634 Sycamore Line

$97.07 5,117 1,618
Firelands Regional Medical Center

1925 Hayes Ave

$64.81 4,141 1,428
Joseph Andrew Borgelt

420 Superior St

$124.18 3,081 764
Bayshore Counseling Services, Inc.

1634 Sycamore Line

$47.77 2,248 658
Jacquelyn Joanne Vanscoder

1634 Sycamore Line

$146.67 1,572 202
Max King

420 Superior St

$65.45 1,518 737
Brad Downing

1634 Sycamore Line

$54.19 1,061 476
Martina Trevino

1925 Hayes Ave

$119.60 976 395
Melissa Fowler

1218 Cleveland Rd

$69.94 911 509
Jessica Marie Wallace

1012 E Perkins Ave

$294.28 852 547
Alphonso Darden

1634 Sycamore Line

$20.75 687 321
Firelands Regional Medical Center

1925 Hayes Ave

$40.86 628 222
Stefani N Clifton

1012 E Perkins Ave

$77.13 566 231
Mary Zimmerman

1925 Hayes Ave

$97.46 559 189
Isabel Leigh-Ann Sanchez

420 Superior St

$62.94 447 153
Julia B. Luevano

1634 Sycamore Line

$77.95 441 193
Karina Matthews

1634 Sycamore Line

$86.30 429 183
Ana Justine Pool

1012 E Perkins Ave

$267.10 397 277
Andrea Catherine Pappas

1012 E Perkins Ave

$126.44 387 134
Kathryn N Taggart

1925 Hayes Ave

$60.19 382 205
Marina Marie Trent

1925 Hayes Ave

$77.61 382 227
Dzanela Sehic

1012 E Perkins Ave

$27.13 314 260
Kristina Marie Flesher

1925 Hayes Ave

$47.78 312 133
Molly Teegarden

1925 Hayes Ave

$125.44 292 121
Agnes Soos-Toldy

1634 Sycamore Line

$87.81 289 139
Skyla M Willett

1012 E Perkins Ave

$39.51 237 191
Ariel Lee Booth

1012 E Perkins Ave

$149.51 222 167
Trisha Simecek

1036 Cleveland Rd

$27.46 211 157
Lauren Pringle

1634 Sycamore Line

$57.80 172 89
Wende Rae Meeks

1925 Hayes Ave

$61.50 153 61
Christine Elizabeth Budka

1925 Hayes Ave

$55.04 131 44
Sheila M Piatek

1925 Hayes Ave

$95.61 117 59
Megan Marie Olmstead

1634 Sycamore Line

$78.71 60 27
Chelsee Ty Smith

1634 Sycamore Line

$13.02 59 39
Katheryn D. Mueller

1845 Superior St

$27.89 43 17
Teri Lynn Meyers

1012 E Perkins Ave

$32.13 21 12
Sarah Jean Newland

1036 Cleveland Rd

$28.80 21 15
Teresa Lynn Schmidt

1634 Sycamore Line

$97.80 14 14
John David Poole

1925 Hayes Ave

$19.31 14 14

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

Other Procedures in Sandusky, OH