Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Worcester, MA: $21.52

Avg. Paid

$21.52

Range

$0.00 – $5,682

Total Claims

6,777,067

Providers

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 Worcester, MA

Provider	Avg. Paid	Claims	Patients
Spectrum Health Systems, Inc 585 Lincoln St	$15.78	5,329,505	254,112
Community Healthlink Inc 12 Queen Street	$52.53	482,618	18,792
Jeffrey D Baxter 585 Lincoln St	$10.02	231,395	10,635
Megan Lynn Gajewski 10 Mechanic St	$11.36	177,243	8,198
James B Broadhurst 119 Belmont St	$10.99	124,101	5,276
Youth Opportunities Upheld, Inc. 135 Gold Star Blvd	$52.89	120,439	5,113
Spectrum Health Systems, Inc 585 Lincoln St	$14.17	80,718	3,903
Adcare Hospital Of Worcester, Inc. 107 Lincoln St	$83.10	66,502	10,322
Lori Dilorenzo 10 Mechanic St	$11.19	52,458	2,296
Jennifer Sharone Bradford 55 Lake Ave N	$9.94	29,847	1,347
Alaa M. Elrefai 26 Queen St	$10.83	24,015	916
Aloria Of Worcester, Llc 1183 Main St	$507.19	22,683	3,606
Community Healthlink, Inc. 72 Jaques Ave	$334.87	6,848	983
Nicole Desjardins 585 Lincoln St	$14.16	4,197	177
Community Healthlink, Inc. 72 Jaques Ave	$56.37	3,800	168
Julia Joachim Shaw 172 Lincoln St	$85.10	3,468	1,334
Lake Avenue Recovery, Llc 425 Lake Ave N	$129.50	3,168	345
Amanda Owens 4 Mann St	$40.08	2,100	588
Counseling & Assessment Clinic Of Worcester Llc 255 Park Ave Ste 804	$65.82	2,014	228
Deirdre Joy Amaral 96 Lincoln St	$96.27	1,632	242
Mohammad Alhabbal 95 Lincoln St	$75.45	1,292	199
Center For Living And Working, Inc 484 Main St	$6.98	1,260	445
Gerardo Gonzalez-Haddad 100 Century Dr	$74.25	1,017	108
Courtney Baczko 335 Chandler St	$74.46	877	222
Christina T Rossi 585 Lincoln St	$29.45	401	133
Anne L Fine 81 Plantation St	$66.99	353	14
Jacob A Valeri 81 Plantation St	$98.14	323	105
Jayson Hidalgo 585 Lincoln St	$35.54	309	168
Kelly Smith 172 Lincoln St	$42.74	274	126
Nicole Marie Magni 105 Merrick St	$46.15	273	182
Lexie Ford-Clottey 585 Lincoln St	$46.25	268	168
Judson Alyn Brewer 279 Lincoln St	$1,279	223	106
Brandon Quinones 26 Queen St	$37.92	218	108
Shannon Kohnke 585 Lincoln St	$45.94	214	128
Ashley L. Oliveri 585 Lincoln St	$49.28	204	136
Kristen Nicole Chapdelaine 340 Main St	$45.09	145	79
Matthew Collin 105 Merrick St	$54.75	121	63
Mohamad R. Och 425 Lake Ave N Ste 101	$5,682	107	106
Nana G. Afreh 585 Lincoln St	$47.35	66	40
Laura E Scully 411 Chandler St	$35.50	45	25
Mia Griffin 585 Lincoln St	$42.71	41	27
Tracy Ann Desruisseaux 585 Lincoln St	$51.98	38	28
Jacqueline A. Bradley 585 Lincoln St	$36.30	38	25
Cherise Hamblin 33 Kendall Street	$28.04	36	27
Kristi Dawn Vargas 72 Jaques Ave	$56.09	27	17
Lynn A. Leblanc-Marrone 72 Jaques Ave	$39.11	25	12
Community Healthlink, Inc 12 Queen Street	$58.01	25	23
Viana Bernard 12 Queen St	$0.00	21	21
Leticia Adriana Flores 1369 Grafton St	$19.12	18	12
Abigail L Gregoire 585 Lincoln St	$59.06	17	15

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 Worcester, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Worcester, MA is $21.52 per claim, based on 6,777,067 claims from 53 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 Worcester, MA?

There are 53 Medicaid providers offering Substance Abuse Treatment related services in Worcester, MA according to public payment data.

What is the price range for Substance Abuse Treatment in Worcester, MA?

Medicaid reimbursement for Substance Abuse Treatment in Worcester, MA ranges from $0.00 to $5,682 per claim, with an average of $21.52. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Substance Abuse Treatment Payments in Worcester, MA: $21.52

Providers Offering Substance Abuse Treatment in Worcester, MA

What to Expect: Substance Abuse Treatment

Cost Components

Frequently Asked Questions

Substance Abuse Treatment in Other Cities

Hartford, CT

Phoenix, AZ

Springfield, MA

Baltimore, MD

Portland, OR

Bronx, NY

Albuquerque, NM

Tucson, AZ

Other Procedures in Worcester, MA

Office Visit

Psychiatric Evaluation

Non-Emergency Medical Transportation

Home Health Visit

Dental Cleaning & Exam

Blood Work & Lab Tests

Behavioral & Mental Health Therapy

Emergency Room Visit