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 |
|---|---|---|---|---|
| Sedona, AZ | $0.00 | $0.00 – $0.00 | 401 | 1 |
| Daleville, VA | $240.05 | $240.05 – $240.05 | 402 | 1 |
| N Las Vegas, NV | $86.75 | $0.00 – $117.08 | 402 | 5 |
| Wilkinsburg, PA | $118.06 | $118.06 – $118.06 | 402 | 1 |
| Sayre, PA | $57.19 | $16.00 – $58.56 | 403 | 2 |
| Middlesex, NJ | $110.70 | $110.70 – $110.70 | 403 | 1 |
| Hurley, VA | $20.61 | $20.61 – $20.61 | 404 | 1 |
| Haines City, FL | $23.75 | $22.64 – $39.79 | 405 | 3 |
| Dodge Center, MN | $18.19 | $18.19 – $18.19 | 405 | 1 |
| Waco, TX | $9.71 | $9.71 – $9.71 | 407 | 1 |
| Riviera Beach, FL | $48.35 | $39.68 – $51.61 | 407 | 2 |
| Cypress, TX | $101.94 | $101.94 – $101.94 | 407 | 1 |
| Kellyville, OK | $24.15 | $24.15 – $24.15 | 407 | 1 |
| Arroyo Grande, CA | $2.32 | $0.00 – $2.93 | 409 | 2 |
| Ottawa, OH | $39.18 | $33.67 – $41.80 | 410 | 2 |
| Port Jervis, NY | $41.92 | $41.92 – $41.92 | 410 | 1 |
| Johnson Creek, WI | $34.12 | $5.00 – $40.61 | 412 | 2 |
| King City, OR | $62.76 | $62.76 – $62.76 | 412 | 1 |
| Panama City Beach, FL | $40.46 | $40.46 – $40.46 | 413 | 1 |
| Pecos, NM | $1.11 | $0.00 – $27.00 | 413 | 2 |
| Granville, OH | $155.00 | $23.65 – $161.30 | 415 | 2 |
| Box Elder, MT | $0.00 | $0.00 – $0.00 | 415 | 1 |
| Abbotsford, WI | $137.54 | $62.43 – $142.13 | 416 | 2 |
| Wapato, WA | $67.45 | $57.46 – $76.30 | 417 | 2 |
| Laughlin, NV | $117.37 | $117.37 – $117.37 | 419 | 1 |
| Caledonia, MN | $143.69 | $143.69 – $143.69 | 423 | 1 |
| Winnsboro, SC | $61.33 | $61.33 – $61.33 | 423 | 1 |
| Cornelius, OR | $27.89 | $27.89 – $27.89 | 425 | 1 |
| Oconto, WI | $18.91 | $18.91 – $18.91 | 426 | 1 |
| Marshallville, OH | $18.15 | $18.15 – $18.15 | 426 | 1 |
| Edmonton, KY | $14.35 | $14.35 – $14.35 | 431 | 1 |
| Delmar, MD | $75.05 | $75.05 – $75.05 | 431 | 1 |
| Hastings On Hudson, NY | $27.96 | $27.96 – $27.96 | 432 | 1 |
| Mecca, CA | $0.00 | $0.00 – $0.00 | 432 | 1 |
| Flowery Branch, GA | $33.77 | $33.77 – $33.77 | 432 | 1 |
| Glenwood, MN | $36.72 | $36.72 – $36.72 | 432 | 1 |
| Eaton, CO | $190.84 | $190.84 – $190.84 | 433 | 1 |
| Easton, PA | $36.77 | $36.77 – $36.77 | 434 | 1 |
| Arabi, LA | $147.23 | $146.95 – $147.48 | 434 | 2 |
| Independence, LA | $31.95 | $2.01 – $48.53 | 435 | 2 |
| Crescent City, FL | $49.45 | $49.45 – $49.45 | 435 | 1 |
| Odenton, MD | $73.64 | $73.64 – $73.64 | 435 | 1 |
| Camden, AR | $77.39 | $64.08 – $81.36 | 436 | 3 |
| Milbridge, ME | $63.85 | $63.85 – $63.85 | 436 | 1 |
| Charleston, TN | $301.08 | $301.08 – $301.08 | 436 | 1 |
| Dillon, CO | $87.85 | $87.85 – $87.85 | 436 | 1 |
| Homer, LA | $87.14 | $28.95 – $98.05 | 437 | 2 |
| Parkin, AR | $105.43 | $105.43 – $105.43 | 438 | 1 |
| Allentown, PA | $36.47 | $36.46 – $36.47 | 439 | 2 |
| Mingo Junction, OH | $26.24 | $26.10 – $26.54 | 440 | 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.