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 |
|---|---|---|---|---|
| Philomath, OR | $40.61 | $40.61 – $40.61 | 184 | 1 |
| Vancouver, OR | $127.10 | $127.10 – $127.10 | 184 | 1 |
| Barrington, RI | $9.19 | $9.19 – $9.19 | 185 | 1 |
| Poquoson, VA | $232.49 | $232.49 – $232.49 | 185 | 1 |
| Stonewall, LA | $99.94 | $99.94 – $99.94 | 185 | 1 |
| Raymore, MO | $0.00 | $0.00 – $0.00 | 186 | 2 |
| Jefferson Hills, PA | $0.00 | $0.00 – $0.00 | 187 | 1 |
| Lanse, MI | $0.00 | $0.00 – $0.00 | 187 | 1 |
| Bridgeport, MI | $5.42 | $5.42 – $5.42 | 189 | 1 |
| Dover, NJ | $0.00 | $0.00 – $0.00 | 190 | 1 |
| Gary, WV | $0.30 | $0.30 – $0.30 | 190 | 1 |
| Tolleson, AZ | $0.00 | $0.00 – $0.00 | 190 | 1 |
| Woodmere, OH | $0.00 | $0.00 – $0.00 | 191 | 1 |
| Monroe, OR | $36.30 | $36.30 – $36.30 | 191 | 1 |
| Grandview, OH | $73.39 | $73.39 – $73.39 | 191 | 1 |
| Buena Vista, GA | $0.00 | $0.00 – $0.00 | 192 | 1 |
| Athens, GA | $0.00 | $0.00 – $0.00 | 193 | 1 |
| Pagosa Springs, CO | $4.69 | $0.00 – $8.46 | 193 | 2 |
| Loxahatchee Groves, FL | $17.24 | $15.38 – $24.92 | 193 | 4 |
| Walls, MS | $256.84 | $256.84 – $256.84 | 193 | 1 |
| Georgetown, DE | $0.85 | $0.00 – $4.73 | 194 | 2 |
| Cleveland Hts, OH | $87.87 | $87.87 – $87.87 | 194 | 1 |
| Petersburg, IL | $113.96 | $113.96 – $113.96 | 194 | 1 |
| Oneida, NY | $32.32 | $4.46 – $34.14 | 195 | 2 |
| Roberta, GA | $0.00 | $0.00 – $0.00 | 195 | 1 |
| Richton Park, IL | $11.54 | $9.75 – $21.47 | 196 | 2 |
| Orange City, FL | $16.54 | $16.54 – $16.54 | 196 | 1 |
| Flowood, MS | $8.37 | $8.37 – $8.37 | 197 | 1 |
| Hyannis, MA | $0.00 | $0.00 – $0.00 | 197 | 1 |
| La Jolla, CA | $0.03 | $0.00 – $0.05 | 197 | 4 |
| Kellogg, ID | $0.00 | $0.00 – $0.00 | 197 | 1 |
| Eveleth, MN | $78.35 | $78.35 – $78.35 | 197 | 1 |
| Tabor City, NC | $22.95 | $22.95 – $22.95 | 197 | 1 |
| Owensville, MO | $74.96 | $74.96 – $74.96 | 197 | 1 |
| Tuscumbia, AL | $25.64 | $25.64 – $25.64 | 198 | 1 |
| Cincinnatii, OH | $64.88 | $64.88 – $64.88 | 198 | 1 |
| Baxter Springs, KS | $661.51 | $661.51 – $661.51 | 199 | 1 |
| Haverford, PA | $160.54 | $160.54 – $160.54 | 199 | 1 |
| Highland Park, CA | $333.44 | $333.44 – $333.44 | 199 | 1 |
| Waldron, AR | $66.35 | $66.35 – $66.35 | 200 | 1 |
| Willow Creek, CA | $0.00 | $0.00 – $0.00 | 200 | 3 |
| Artesia, NM | $59.83 | $58.06 – $65.78 | 201 | 2 |
| Many, LA | $65.30 | $65.30 – $65.30 | 202 | 1 |
| Ft. Campbell, KY | $61.09 | $61.09 – $61.09 | 202 | 1 |
| Ville Platte, LA | $20.38 | $0.00 – $22.75 | 204 | 3 |
| Avon, OH | $112.93 | $103.67 – $141.45 | 204 | 2 |
| Hawthorne, NY | $16.54 | $0.00 – $28.26 | 205 | 2 |
| Rossford, OH | $84.38 | $84.38 – $84.38 | 205 | 1 |
| Deer Park, WA | $0.00 | $0.00 – $0.00 | 206 | 1 |
| Clinton, MD | $84.60 | $53.87 – $96.90 | 206 | 3 |
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.