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 |
|---|---|---|---|---|
| Port Orange, FL | $101.51 | $54.44 – $110.70 | 441 | 2 |
| Hope Mills, NC | $52.81 | $52.81 – $52.81 | 442 | 1 |
| West Valley City, UT | $41.09 | $0.00 – $66.44 | 443 | 2 |
| La Salle, IL | $73.31 | $73.31 – $73.31 | 443 | 1 |
| Veazie, ME | $82.02 | $61.19 – $84.91 | 443 | 2 |
| Independence, MO | $3.94 | $0.00 – $69.99 | 444 | 5 |
| Hartsdale, NY | $106.91 | $0.00 – $111.16 | 444 | 2 |
| Tuckerton, NJ | $121.50 | $121.50 – $121.50 | 444 | 1 |
| Hackberry, LA | $1.32 | $1.32 – $1.32 | 445 | 1 |
| West Fargo, ND | $157.18 | $78.55 – $232.25 | 445 | 3 |
| Woodstock, CT | $152.26 | $152.26 – $152.26 | 447 | 1 |
| Derby, VT | $85.34 | $80.82 – $90.36 | 447 | 2 |
| Glenpool, OK | $0.00 | $0.00 – $0.00 | 448 | 2 |
| Alexandria, KY | $107.49 | $107.49 – $107.49 | 449 | 1 |
| Wyandotte, OK | $644.44 | $644.44 – $644.44 | 449 | 1 |
| Camp Hill, PA | $17.72 | $17.72 – $17.72 | 452 | 1 |
| Black River Falls, WI | $4.21 | $4.21 – $4.21 | 452 | 1 |
| Superior, MT | $60.34 | $53.40 – $77.17 | 452 | 2 |
| Miami Springs, FL | $12.02 | $10.93 – $16.53 | 452 | 3 |
| Casco, ME | $158.24 | $80.69 – $197.50 | 452 | 3 |
| Cockeysville, MD | $79.90 | $79.90 – $79.90 | 454 | 1 |
| Lynwood, IL | $49.48 | $49.48 – $49.48 | 456 | 1 |
| Stanwood, WA | $3.05 | $0.30 – $45.09 | 457 | 2 |
| Walnut Cove, NC | $122.84 | $122.84 – $122.84 | 457 | 1 |
| Momence, IL | $70.11 | $70.11 – $70.11 | 457 | 1 |
| Nashville, AR | $63.63 | $63.63 – $63.63 | 458 | 1 |
| Fircrest, WA | $135.85 | $135.85 – $135.85 | 458 | 1 |
| Kirtland, OH | $67.48 | $22.06 – $74.59 | 458 | 2 |
| Leaburg, OR | $158.03 | $158.03 – $158.03 | 459 | 1 |
| Skedee, OK | $27.23 | $27.23 – $27.23 | 460 | 1 |
| Woodinville, WA | $24.82 | $0.00 – $47.38 | 462 | 2 |
| Clover, SC | $52.04 | $24.40 – $67.35 | 463 | 2 |
| Little River, SC | $23.51 | $23.45 – $23.59 | 465 | 2 |
| New Berlin, WI | $9.62 | $5.46 – $33.43 | 465 | 3 |
| Prescott, MI | $0.00 | $0.00 – $0.00 | 465 | 1 |
| Powell, WY | $100.47 | $100.47 – $100.47 | 466 | 1 |
| South Boston, VA | $130.19 | $17.04 – $211.90 | 470 | 3 |
| Ririe, ID | $198.46 | $198.46 – $198.46 | 470 | 1 |
| Evergreen, CO | $29.93 | $0.00 – $41.64 | 471 | 3 |
| Corning, CA | $6.06 | $6.06 – $6.06 | 472 | 1 |
| Forsyth, GA | $0.00 | $0.00 – $0.00 | 473 | 1 |
| Scottsburg, IN | $32.05 | $32.05 – $32.05 | 474 | 1 |
| Rock Creek, OH | $122.39 | $55.78 – $152.62 | 474 | 2 |
| North Bay Village, FL | $13.08 | $11.51 – $29.66 | 475 | 2 |
| Winsted, MN | $48.44 | $48.44 – $48.44 | 475 | 1 |
| Sterlington, LA | $86.07 | $86.07 – $86.07 | 475 | 1 |
| Grafton, ND | $145.42 | $145.42 – $145.42 | 476 | 1 |
| Strong, ME | $69.35 | $69.35 – $69.35 | 476 | 1 |
| Reedsport, OR | $0.00 | $0.00 – $0.00 | 477 | 1 |
| Port Hueneme, CA | $27.74 | $23.82 – $28.85 | 477 | 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.