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 |
|---|---|---|---|---|
| Hanceville, AL | $0.00 | $0.00 – $0.00 | 478 | 1 |
| Norton, OH | $56.96 | $26.62 – $174.28 | 478 | 3 |
| Toledo, OR | $124.14 | $124.14 – $124.14 | 480 | 1 |
| Berlin, WI | $50.07 | $50.07 – $50.07 | 481 | 1 |
| Yacolt, WA | $88.79 | $88.79 – $88.79 | 483 | 1 |
| Aitkin, MN | $124.79 | $124.79 – $124.79 | 483 | 1 |
| Lomita, CA | $0.00 | $0.00 – $0.00 | 483 | 1 |
| Portland, IN | $134.36 | $134.36 – $134.36 | 484 | 1 |
| Red Bluff, CA | $12.13 | $12.13 – $12.13 | 485 | 1 |
| Springville, UT | $69.21 | $19.15 – $79.24 | 485 | 2 |
| Independence, OR | $20.93 | $20.20 – $24.77 | 485 | 2 |
| Shirley, NY | $71.51 | $71.51 – $71.51 | 487 | 1 |
| Amelia Court House, VA | $175.60 | $175.60 – $175.60 | 487 | 1 |
| Marianna, FL | $52.29 | $18.49 – $66.03 | 488 | 2 |
| Sebago, ME | $102.05 | $102.05 – $102.05 | 489 | 1 |
| Valley Center, KS | $113.91 | $113.91 – $113.91 | 490 | 1 |
| Bay Village, OH | $63.84 | $61.38 – $76.63 | 490 | 2 |
| Tullahoma, TN | $23.12 | $0.00 – $65.85 | 491 | 3 |
| Glenwood Springs, CO | $15.88 | $0.00 – $86.67 | 491 | 4 |
| Scranton, PA | $26.61 | $16.37 – $28.98 | 495 | 3 |
| Belvidere, NJ | $20.14 | $11.34 – $40.38 | 495 | 3 |
| Pleasant Hill, CA | $64.83 | $0.00 – $574.20 | 496 | 4 |
| North Franklin, CT | $143.15 | $141.52 – $152.17 | 496 | 2 |
| Chillicothe, MO | $0.00 | $0.00 – $0.00 | 496 | 1 |
| Winter Park, FL | $20.16 | $20.16 – $20.16 | 498 | 1 |
| Bernardsville, NJ | $112.60 | $112.60 – $112.60 | 498 | 1 |
| San Clemente, CA | $12.55 | $0.00 – $24.00 | 499 | 3 |
| Winnsboro, LA | $57.95 | $18.96 – $146.95 | 499 | 2 |
| Las Vegas, ND | $58.65 | $58.65 – $58.65 | 500 | 1 |
| Saugus, MA | $35.33 | $35.33 – $35.33 | 501 | 1 |
| Collins, OH | $80.34 | $80.34 – $80.34 | 501 | 1 |
| Waterford City, ND | $626.69 | $626.69 – $626.69 | 502 | 1 |
| Germantown, WI | $17.30 | $17.30 – $17.30 | 503 | 1 |
| Hudson, OH | $112.47 | $110.15 – $123.74 | 504 | 2 |
| Middleburg, VA | $27.32 | $27.32 – $27.32 | 506 | 1 |
| Winn, ME | $70.21 | $70.21 – $70.21 | 506 | 1 |
| Walters, OK | $63.78 | $48.73 – $67.61 | 507 | 2 |
| West Greenwich, RI | $17.96 | $17.42 – $19.15 | 509 | 2 |
| Hamden, CT | $157.99 | $151.89 – $164.48 | 510 | 2 |
| Antrim, NH | $74.52 | $74.52 – $74.52 | 510 | 1 |
| Montevideo, MN | $233.48 | $233.48 – $233.48 | 512 | 1 |
| Galloway, OH | $53.34 | $49.10 – $68.50 | 513 | 2 |
| Indianola, IA | $165.27 | $165.27 – $165.27 | 514 | 1 |
| Stephens City, VA | $23.84 | $23.84 – $23.84 | 515 | 1 |
| Downers Grove, IL | $81.34 | $72.10 – $133.38 | 517 | 2 |
| Pennington Gap, VA | $20.02 | $20.02 – $20.02 | 517 | 1 |
| Avenel, NJ | $2.35 | $2.35 – $2.35 | 520 | 1 |
| Lapush, WA | $70.51 | $70.51 – $70.51 | 521 | 1 |
| Montrose, MN | $97.73 | $97.73 – $97.73 | 522 | 1 |
| Pensacola Beach, FL | $210.61 | $210.61 – $210.61 | 524 | 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.