Average Medicaid Substance Abuse Treatment Payments in Sioux Falls, SD: $132.70
Avg. Paid
$132.70
Range
$12.42 – $279.15
Total Claims
30,652
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 Falls, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Volunteers Of America, Dakotas
1309 W. 51St Street |
$106.43 | 16,183 | 2,779 |
|
Carroll Institute
310 S 1St Ave |
$279.15 | 5,413 | 4,420 |
|
The Glory House Of Sioux Falls
4000 S West Ave |
$220.87 | 2,458 | 909 |
|
Lutheran Social Services Of South Dakota Inc
705 E 41St St |
$41.44 | 2,199 | 379 |
|
Sioux Falls Treatment Center, Llc
2519 W 8Th St |
$12.42 | 1,729 | 102 |
|
Annette M Smick
6110 S Minnesota Ave |
$13.60 | 1,434 | 380 |
|
Choices Recovery Services Inc
2701 S Minnesota Ave |
$134.10 | 881 | 373 |
|
Bartels Counseling Services, Inc.
3101 W 41St St |
$115.67 | 355 | 89 |
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 Falls, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Sioux Falls, SD is $132.70 per claim, based on 30,652 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 Falls, SD?
There are 8 Medicaid providers offering Substance Abuse Treatment related services in Sioux Falls, SD according to public payment data.
What is the price range for Substance Abuse Treatment in Sioux Falls, SD?
Medicaid reimbursement for Substance Abuse Treatment in Sioux Falls, SD ranges from $12.42 to $279.15 per claim, with an average of $132.70. 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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Baltimore, MD
Avg $107.97
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Avg $21.52
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Avg $38.59
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Avg $34.24
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Other Procedures in Sioux Falls, SD
Office Visit
Avg $50.32
948,639 claims
Blood Work & Lab Tests
Avg $10.61
501,187 claims
Vaccines & Immunizations
Avg $11.07
358,214 claims
Psychiatric Evaluation
Avg $63.31
349,102 claims
X-Ray
Avg $9.88
280,494 claims
Emergency Room Visit
Avg $92.67
213,799 claims
Personal Care Services
Avg $119.40
213,761 claims
Speech Therapy
Avg $21.62
173,302 claims