Average Medicaid Substance Abuse Treatment Payments
Typical Medicaid Substance Abuse Treatment reimbursement across 5,169 cities
Avg. Medicaid Paid
$58.84
Price Range
$0.00 – $10,105
Total Claims
490.4M
Cities
5169
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.
About This Procedure
Treatment programs for substance use disorders, including detoxification, counseling, medication-assisted treatment (MAT), and rehabilitation services.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Shreveport, LA | $60.26 | $0.00 – $132.35 | 834,185 | 59 |
| Santa Maria, CA | $33.75 | $0.00 – $606.74 | 838,009 | 20 |
| Parkersburg, WV | $142.59 | $0.00 – $195.09 | 844,722 | 20 |
| Fredericksburg, VA | $17.34 | $0.00 – $321.03 | 850,682 | 8 |
| Tempe, AZ | $139.26 | $0.00 – $4,187 | 878,354 | 93 |
| Holyoke, MA | $16.53 | $0.00 – $17.74 | 889,383 | 4 |
| Akron, OH | $74.21 | $0.00 – $954.28 | 890,491 | 423 |
| Richmond, CA | $22.11 | $10.75 – $563.09 | 911,498 | 4 |
| Lynchburg, VA | $88.03 | $0.24 – $325.11 | 916,923 | 30 |
| Scottsdale, AZ | $104.06 | $0.00 – $4,742 | 917,720 | 76 |
| Harrison, NY | $37.27 | $22.84 – $50.98 | 919,042 | 5 |
| Newport News, VA | $48.32 | $0.00 – $431.18 | 920,799 | 14 |
| Jackson, MI | $20.71 | $0.00 – $1,114 | 923,639 | 9 |
| Hayward, CA | $25.69 | $17.75 – $478.62 | 925,921 | 6 |
| Salt Lake City, UT | $66.10 | $0.00 – $2,345 | 929,403 | 54 |
| Lexington, KY | $82.19 | $0.00 – $415.81 | 953,868 | 163 |
| Huntington, WV | $100.08 | $0.00 – $248.90 | 957,937 | 42 |
| Roseville, CA | $24.37 | $0.00 – $164.43 | 962,195 | 9 |
| Visalia, CA | $24.52 | $0.00 – $381.14 | 968,925 | 13 |
| Highland Park, MI | $10.04 | $9.62 – $160.29 | 969,658 | 2 |
| Clinton, MO | $9.95 | $0.00 – $100.35 | 973,497 | 10 |
| Fort Wayne, IN | $88.84 | $0.00 – $457.93 | 999,164 | 20 |
| Anchorage, AK | $64.37 | $0.00 – $991.61 | 1,005,408 | 144 |
| Syracuse, NY | $62.37 | $0.55 – $178.93 | 1,023,428 | 20 |
| Arlington, WA | $16.64 | $14.79 – $183.25 | 1,023,525 | 10 |
| Hammond, LA | $9.15 | $8.69 – $176.98 | 1,033,639 | 6 |
| Pulaski, VA | $10.34 | $10.34 – $10.34 | 1,042,946 | 1 |
| Gretna, LA | $13.72 | $12.44 – $117.61 | 1,054,410 | 4 |
| Saint Paul, MN | $156.45 | $0.00 – $1,545 | 1,054,606 | 74 |
| Yuma, AZ | $58.77 | $0.00 – $272.93 | 1,090,869 | 36 |
| Chesapeake, VA | $18.15 | $0.00 – $581.71 | 1,094,970 | 20 |
| Wilmington, DE | $14.51 | $0.00 – $146.44 | 1,110,493 | 19 |
| Lansing, MI | $21.23 | $3.97 – $174.82 | 1,118,542 | 9 |
| Toledo, OH | $102.58 | $0.00 – $380.34 | 1,129,559 | 567 |
| Grand Junction, CO | $154.69 | $0.00 – $1,163 | 1,131,371 | 50 |
| Carmichael, CA | $21.34 | $0.00 – $21.37 | 1,131,689 | 11 |
| Kalamazoo, MI | $22.55 | $1.37 – $1,189 | 1,148,823 | 15 |
| Saginaw, MI | $22.44 | $1.83 – $1,002 | 1,163,447 | 24 |
| Youngstown, OH | $58.61 | $0.00 – $400.00 | 1,171,423 | 227 |
| Concord, NH | $36.35 | $8.59 – $269.79 | 1,176,953 | 25 |
| Riverside, CA | $45.82 | $0.00 – $600.71 | 1,177,631 | 129 |
| Manchester, NH | $19.87 | $0.00 – $267.75 | 1,179,036 | 52 |
| Louisa, KY | $53.39 | $9.61 – $192.75 | 1,192,329 | 39 |
| Spokane, WA | $48.18 | $0.00 – $987.35 | 1,200,554 | 559 |
| Las Vegas, NV | $43.50 | $0.00 – $914.74 | 1,203,061 | 700 |
| Centennial, CO | $32.38 | $0.00 – $1,158 | 1,220,225 | 24 |
| Roanoke, VA | $44.31 | $0.00 – $4,868 | 1,236,004 | 43 |
| Fall River, MA | $23.69 | $11.23 – $192.53 | 1,252,274 | 23 |
| Vancouver, WA | $29.50 | $0.00 – $615.37 | 1,271,002 | 335 |
| Olympia, WA | $31.14 | $0.00 – $342.80 | 1,271,357 | 225 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| 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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.