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 |
|---|---|---|---|---|
| Fayetteville, WV | $0.00 | $0.00 – $0.00 | 110 | 3 |
| Tusculum, TN | $217.70 | $217.70 – $217.70 | 110 | 1 |
| Florham Park, NJ | $0.00 | $0.00 – $0.00 | 111 | 1 |
| Montgomery, WV | $0.00 | $0.00 – $0.00 | 111 | 1 |
| Pearl City, HI | $11.26 | $11.26 – $11.26 | 111 | 1 |
| Stanville, KY | $33.70 | $33.70 – $33.70 | 112 | 1 |
| Wayne, NJ | $256.13 | $256.13 – $256.13 | 113 | 1 |
| Morton Grove, IL | $24.96 | $24.96 – $24.96 | 113 | 1 |
| Keystone Heights, FL | $37.15 | $37.15 – $37.15 | 113 | 1 |
| Galena, IL | $44.32 | $0.00 – $87.86 | 113 | 2 |
| Wakefield, MA | $181.50 | $181.50 – $181.50 | 114 | 1 |
| Ft Greggadams, VA | $105.90 | $105.90 – $105.90 | 114 | 1 |
| Whitefield, ME | $3,986 | $3,986 – $3,986 | 114 | 1 |
| Grove City, PA | $23.62 | $23.62 – $23.62 | 115 | 1 |
| Vega Baja, PR | $1.32 | $1.32 – $1.32 | 115 | 1 |
| La Habra, CA | $1.88 | $0.00 – $15.43 | 115 | 3 |
| Vincent, OH | $81.83 | $81.83 – $81.83 | 115 | 1 |
| Ellaville, GA | $0.00 | $0.00 – $0.00 | 115 | 1 |
| Jupiter, FL | $0.00 | $0.00 – $0.00 | 116 | 1 |
| Earlsboro, OK | $31.88 | $24.18 – $35.20 | 116 | 2 |
| Westford, MA | $127.79 | $127.79 – $127.79 | 117 | 1 |
| Lugoff, SC | $21.36 | $21.36 – $21.36 | 117 | 1 |
| Conneaut, OH | $49.35 | $49.35 – $49.35 | 118 | 1 |
| Conrad, MT | $0.00 | $0.00 – $0.00 | 118 | 2 |
| Navarre, OH | $39.69 | $39.69 – $39.69 | 118 | 1 |
| Slinger, WI | $29.30 | $29.30 – $29.30 | 118 | 1 |
| Monmouth, OR | $3.50 | $3.50 – $3.50 | 118 | 1 |
| Dewey, OK | $0.00 | $0.00 – $0.00 | 118 | 1 |
| Shawnee, KS | $0.00 | $0.00 – $0.00 | 119 | 1 |
| Hillsboro, MO | $0.00 | $0.00 – $0.00 | 119 | 1 |
| Harriman, TN | $216.91 | $216.91 – $216.91 | 120 | 1 |
| Portland, TN | $247.94 | $247.94 – $247.94 | 120 | 1 |
| Allenwood, PA | $3,703 | $3,703 – $3,703 | 120 | 1 |
| Saint Francis, ME | $35.64 | $35.64 – $35.64 | 120 | 1 |
| New Castle, IN | $30.80 | $30.80 – $30.80 | 121 | 1 |
| Jasper, OR | $60.42 | $60.42 – $60.42 | 121 | 1 |
| New Harmony, UT | $1.20 | $1.20 – $1.20 | 121 | 1 |
| White Bear Lake, MN | $6.18 | $6.18 – $6.18 | 122 | 1 |
| Copley, OH | $23.91 | $23.91 – $23.91 | 122 | 1 |
| Patterson, CA | $23.80 | $23.80 – $23.80 | 122 | 1 |
| Bound Brook, NJ | $57.45 | $57.45 – $57.45 | 123 | 1 |
| Brea, CA | $0.00 | $0.00 – $0.00 | 123 | 1 |
| Camp Pendleton, CA | $3.10 | $3.10 – $3.10 | 123 | 1 |
| Ordway, CO | $0.00 | $0.00 – $0.00 | 123 | 1 |
| Arundel, ME | $75.17 | $75.17 – $75.17 | 123 | 1 |
| Shelburne, VT | $87.43 | $87.43 – $87.43 | 124 | 1 |
| Wittmann, AZ | $40.62 | $40.62 – $40.62 | 124 | 1 |
| Beallsville, OH | $47.13 | $47.13 – $47.13 | 124 | 1 |
| Deerfield, OH | $149.88 | $149.88 – $149.88 | 125 | 1 |
| Petaluma, CA | $23.89 | $23.88 – $24.00 | 126 | 2 |
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.