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 |
|---|---|---|---|---|
| Iselin, NJ | $4.25 | $4.25 – $4.25 | 145 | 1 |
| Winner, SD | $175.97 | $175.97 – $175.97 | 145 | 1 |
| Severn, MD | $74.39 | $74.39 – $74.39 | 145 | 1 |
| Canaan, ME | $102.71 | $102.71 – $102.71 | 145 | 1 |
| Oberlin, OH | $15.59 | $15.59 – $15.59 | 146 | 1 |
| Wallace, NC | $210.79 | $210.79 – $210.79 | 146 | 1 |
| Wales, MA | $48.68 | $48.68 – $48.68 | 146 | 1 |
| Cartwright, OK | $56.29 | $56.29 – $56.29 | 146 | 1 |
| Lawrence, NY | $56.78 | $56.78 – $56.78 | 147 | 1 |
| Washougal, WA | $120.70 | $120.70 – $120.70 | 147 | 1 |
| Saint Francis, MN | $72.95 | $72.95 – $72.95 | 148 | 1 |
| Cando, ND | $219.24 | $219.24 – $219.24 | 148 | 1 |
| Belle, WV | $0.00 | $0.00 – $0.00 | 148 | 1 |
| Alamo, GA | $0.07 | $0.07 – $0.07 | 148 | 1 |
| Overgaard, AZ | $0.00 | $0.00 – $0.00 | 149 | 1 |
| Eureka, IL | $85.81 | $85.81 – $85.81 | 149 | 1 |
| Decorah, IA | $0.00 | $0.00 – $0.00 | 150 | 1 |
| Winfield, KS | $69.38 | $54.77 – $133.07 | 150 | 2 |
| Diamond Bar, CA | $0.00 | $0.00 – $0.00 | 150 | 1 |
| Georgetown, GA | $0.00 | $0.00 – $0.00 | 150 | 1 |
| Neillsville, WI | $41.34 | $41.34 – $41.34 | 151 | 1 |
| Ontario, OH | $19.41 | $18.43 – $21.71 | 152 | 3 |
| Morgantown, KY | $27.44 | $27.44 – $27.44 | 152 | 1 |
| Manchester, MD | $191.06 | $191.06 – $191.06 | 152 | 1 |
| Alvaton, KY | $37.89 | $21.30 – $65.19 | 152 | 3 |
| Sweden, ME | $93.14 | $93.14 – $93.14 | 152 | 1 |
| Belfair, WA | $7.69 | $0.00 – $20.28 | 153 | 2 |
| Newland, NC | $19.97 | $19.97 – $19.97 | 153 | 1 |
| North Fort Myers, FL | $0.00 | $0.00 – $0.00 | 153 | 1 |
| Wilmore, KY | $73.93 | $73.93 – $73.93 | 153 | 1 |
| Sciotoville, OH | $53.98 | $53.98 – $53.98 | 153 | 1 |
| Calumet, OK | $68.01 | $68.01 – $68.01 | 153 | 1 |
| Belleview, FL | $16.94 | $16.94 – $16.94 | 154 | 1 |
| Krebs, OK | $17.39 | $17.39 – $17.39 | 154 | 1 |
| Richardson, TX | $7.90 | $7.90 – $7.90 | 155 | 1 |
| Orinda, CA | $4.49 | $4.49 – $4.49 | 155 | 1 |
| Haysi, VA | $21.08 | $21.08 – $21.08 | 156 | 1 |
| Neptune City, NJ | $80.71 | $0.00 – $109.48 | 156 | 2 |
| Ogden, IL | $136.55 | $136.55 – $136.55 | 156 | 1 |
| Beliot, WI | $17.94 | $17.94 – $17.94 | 156 | 1 |
| Youngsville, LA | $1.10 | $1.10 – $1.10 | 157 | 1 |
| Versailles, KY | $17.38 | $17.38 – $17.38 | 158 | 1 |
| Byesville, OH | $19.66 | $19.66 – $19.66 | 158 | 1 |
| Kittery Point, ME | $59.78 | $59.78 – $59.78 | 158 | 1 |
| Appleton, ME | $100.11 | $100.11 – $100.11 | 158 | 1 |
| Middle River, MD | $89.60 | $89.60 – $89.60 | 159 | 1 |
| Fayetteville, NY | $158.10 | $158.10 – $158.10 | 160 | 1 |
| Crestview, FL | $21.04 | $13.89 – $21.99 | 162 | 2 |
| Wise, VA | $21.93 | $21.93 – $21.93 | 162 | 1 |
| Willowick, OH | $11.97 | $11.97 – $11.97 | 162 | 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.