Average Medicaid Substance Abuse Treatment Payments in Sioux City, IA: $50.78
Avg. Paid
$50.78
Range
$0.00 – $165.34
Total Claims
47,913
Providers
8
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 Sioux City, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Siouxland Mental Health Services, Inc.
625 Court St |
$1.86 | 22,063 | 21,300 |
|
Randall Glen Wood
2720 Stone Park Blvd. |
$165.34 | 8,654 | 1,719 |
|
David Gerhardt Paulsrud
800 5Th St |
$82.42 | 7,558 | 1,424 |
|
Family Access Center, Inc.
1221 Pierce St |
$48.90 | 3,492 | 998 |
|
Jackson Recovery Centers, Inc.
800 5Th St |
$58.41 | 2,863 | 593 |
|
Siouxland Community Health Center
1021 Nebraska St |
$0.00 | 2,418 | 2,395 |
|
Morgan Davis
800 5Th St |
$0.00 | 826 | 179 |
|
Woodbury County Government
1014 Nebraska St |
$7.84 | 39 | 27 |
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 Sioux City, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Sioux City, IA is $50.78 per claim, based on 47,913 claims from 8 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 Sioux City, IA?
There are 8 Medicaid providers offering Substance Abuse Treatment related services in Sioux City, IA according to public payment data.
What is the price range for Substance Abuse Treatment in Sioux City, IA?
Medicaid reimbursement for Substance Abuse Treatment in Sioux City, IA ranges from $0.00 to $165.34 per claim, with an average of $50.78. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $38.59
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Avg $34.24
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Other Procedures in Sioux City, IA
Office Visit
Avg $30.79
749,417 claims
Psychiatric Evaluation
Avg $70.45
487,919 claims
Blood Work & Lab Tests
Avg $3.23
453,284 claims
Emergency Room Visit
Avg $138.20
200,767 claims
Vaccines & Immunizations
Avg $8.35
170,173 claims
Speech Therapy
Avg $17.63
147,408 claims
Non-Emergency Medical Transportation
Avg $28.66
136,584 claims
Chiropractic Care
Avg $22.48
133,348 claims