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 |
|---|---|---|---|---|
| Soorro, NM | $94.03 | $94.03 – $94.03 | 96 | 1 |
| Fairview, OK | $0.00 | $0.00 – $0.00 | 97 | 1 |
| Dyer, IN | $97.47 | $97.47 – $97.47 | 97 | 1 |
| Burlington, IA | $0.00 | $0.00 – $0.00 | 97 | 1 |
| Huber Heights, OH | $188.51 | $188.51 – $188.51 | 97 | 1 |
| Dayton, WA | $5.00 | $1.11 – $7.69 | 98 | 2 |
| Sturgeon Bay, WI | $43.99 | $21.87 – $61.28 | 98 | 2 |
| Mullens, WV | $0.00 | $0.00 – $0.00 | 98 | 1 |
| Universal City, TX | $67.16 | $67.16 – $67.16 | 98 | 1 |
| Beatty, NV | $27.94 | $27.94 – $27.94 | 98 | 1 |
| Coarsegold, CA | $0.00 | $0.00 – $0.00 | 98 | 1 |
| Farmington, MN | $226.33 | $226.33 – $226.33 | 99 | 1 |
| Southfield, MI | $26.99 | $26.99 – $26.99 | 99 | 1 |
| Ozark, AR | $82.07 | $82.07 – $82.07 | 100 | 1 |
| Ferndale, CA | $0.00 | $0.00 – $0.00 | 100 | 1 |
| Hayden, ID | $0.94 | $0.94 – $0.94 | 101 | 1 |
| Fort Stewart, GA | $0.00 | $0.00 – $0.00 | 101 | 1 |
| Valencia, CA | $14.11 | $14.11 – $14.11 | 101 | 1 |
| Jefferson City, TN | $258.07 | $258.07 – $258.07 | 101 | 1 |
| Fort Carson, CO | $0.00 | $0.00 – $0.00 | 101 | 1 |
| Lumberton, NJ | $86.44 | $86.44 – $86.44 | 101 | 1 |
| Carmel, CA | $9.98 | $9.98 – $9.98 | 101 | 1 |
| Fortuna, CA | $4.51 | $0.00 – $11.40 | 101 | 2 |
| Coleman, OK | $68.95 | $68.95 – $68.95 | 101 | 1 |
| Warner Robins, GA | $71.71 | $71.71 – $71.71 | 102 | 1 |
| Irving, TX | $6.69 | $0.00 – $8.40 | 103 | 2 |
| Claremont, CA | $0.00 | $0.00 – $0.00 | 103 | 1 |
| Wayzata, MN | $85.15 | $85.15 – $85.15 | 103 | 1 |
| Haverstraw, NY | $34.71 | $34.71 – $34.71 | 103 | 1 |
| Arnold, MD | $283.66 | $283.66 – $283.66 | 104 | 1 |
| Clarkston, GA | $0.00 | $0.00 – $0.00 | 104 | 1 |
| La Grange Park, IL | $86.54 | $86.54 – $86.54 | 104 | 1 |
| Zachary, LA | $108.51 | $108.51 – $108.51 | 105 | 1 |
| Deer Park, TX | $15.04 | $15.04 – $15.04 | 105 | 1 |
| Portage, MI | $2.32 | $0.00 – $5.86 | 106 | 3 |
| Thorp, WI | $18.78 | $18.78 – $18.78 | 106 | 1 |
| Bushnell, FL | $10.25 | $10.25 – $10.25 | 107 | 1 |
| Bloomingdale, GA | $12.45 | $12.45 – $12.45 | 107 | 1 |
| Abq, NM | $79.14 | $79.14 – $79.14 | 107 | 1 |
| Tippecanoe, OH | $67.24 | $67.24 – $67.24 | 107 | 1 |
| Mount Dora, FL | $12.24 | $12.24 – $12.24 | 108 | 1 |
| Collins, MS | $138.78 | $138.78 – $138.78 | 108 | 1 |
| Durham, CT | $174.92 | $174.92 – $174.92 | 108 | 1 |
| Talent, OR | $93.97 | $27.27 – $122.06 | 108 | 2 |
| Wernersville, PA | $90.48 | $90.48 – $90.48 | 109 | 1 |
| Weed, CA | $5.00 | $5.00 – $5.00 | 109 | 1 |
| Long Valley, NJ | $0.00 | $0.00 – $0.00 | 109 | 1 |
| Cleveland, MN | $84.32 | $84.32 – $84.32 | 109 | 1 |
| Oak Bluffs, MA | $73.86 | $73.86 – $73.86 | 110 | 1 |
| Kingstree, SC | $47.96 | $47.96 – $47.96 | 110 | 1 |
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.