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 |
|---|---|---|---|---|
| Sonoma, CA | $17.66 | $7.69 – $24.00 | 580 | 5 |
| Mentor On The Lake, OH | $112.38 | $112.38 – $112.38 | 580 | 1 |
| Mt Pleasant, TX | $61.97 | $61.97 – $61.97 | 581 | 1 |
| Dobson, NC | $76.56 | $76.56 – $76.56 | 582 | 1 |
| East Alton, IL | $63.83 | $63.83 – $63.83 | 583 | 1 |
| South El Monte, CA | $25.07 | $0.00 – $42.43 | 584 | 2 |
| Pleasant Prairie, WI | $19.09 | $19.09 – $19.09 | 585 | 1 |
| Clermont, FL | $2.52 | $0.00 – $9.19 | 586 | 6 |
| Rumford, RI | $163.77 | $163.77 – $163.77 | 586 | 1 |
| Asbury Park, NJ | $108.18 | $108.18 – $108.18 | 587 | 1 |
| Carlisle, OH | $147.08 | $147.08 – $147.08 | 588 | 1 |
| Edgewood, NM | $80.60 | $53.59 – $175.58 | 589 | 3 |
| North Miami, FL | $7.02 | $0.00 – $14.74 | 592 | 3 |
| Olympia Fields, IL | $112.00 | $112.00 – $112.00 | 592 | 1 |
| Dodge City, KS | $72.75 | $72.75 – $72.75 | 595 | 1 |
| Rockwall, TX | $55.25 | $55.25 – $55.25 | 596 | 1 |
| Escalante, UT | $130.72 | $130.72 – $130.72 | 596 | 1 |
| Silverdale, WA | $68.90 | $0.00 – $150.20 | 599 | 4 |
| Wilder, VT | $100.62 | $100.62 – $100.62 | 604 | 1 |
| Alamogordo, NM | $122.91 | $63.40 – $220.25 | 606 | 3 |
| Oakland Park, FL | $0.83 | $0.00 – $17.84 | 606 | 3 |
| Leavenworth, KS | $39.03 | $0.00 – $60.65 | 606 | 2 |
| Detroit, ME | $68.21 | $68.21 – $68.21 | 607 | 1 |
| South Shore, KY | $149.91 | $25.75 – $203.79 | 608 | 2 |
| Mammoth Lakes, CA | $69.06 | $69.06 – $69.06 | 608 | 1 |
| Hopewell, VA | $212.68 | $212.68 – $212.68 | 610 | 1 |
| Wilton, CT | $0.00 | $0.00 – $0.00 | 612 | 1 |
| Eldon, MO | $98.81 | $98.81 – $98.81 | 612 | 1 |
| Tipp City, OH | $100.14 | $28.07 – $122.75 | 612 | 3 |
| Moultrie, GA | $0.00 | $0.00 – $0.00 | 613 | 1 |
| Wilton, NH | $220.61 | $220.61 – $220.61 | 613 | 1 |
| City Of Commerce, CA | $73.54 | $73.54 – $73.54 | 614 | 1 |
| Mukwonago, WI | $29.71 | $29.71 – $29.71 | 615 | 1 |
| Pounding Mill, VA | $9.03 | $9.03 – $9.03 | 616 | 1 |
| Wapakoneta, OH | $88.40 | $28.50 – $112.66 | 617 | 3 |
| New Waterford, OH | $36.08 | $36.08 – $36.08 | 617 | 1 |
| Algona, WA | $151.69 | $151.69 – $151.69 | 618 | 1 |
| Faribault, MN | $109.07 | $30.33 – $115.96 | 621 | 2 |
| Woodhaven, NY | $0.36 | $0.00 – $1.13 | 622 | 2 |
| Hope, ME | $77.54 | $77.54 – $77.54 | 623 | 1 |
| Carson, CA | $0.00 | $0.00 – $0.00 | 625 | 2 |
| Mukilteo, WA | $8.04 | $0.00 – $60.68 | 625 | 6 |
| Mooresville, IN | $361.33 | $0.00 – $376.96 | 627 | 2 |
| Whiteman Afb, MO | $56.53 | $36.64 – $60.95 | 627 | 2 |
| Booneville, AR | $77.20 | $77.20 – $77.20 | 628 | 1 |
| Davenport, WA | $70.52 | $0.00 – $93.96 | 629 | 3 |
| New Sharon, ME | $58.18 | $58.18 – $58.18 | 629 | 1 |
| Northborough, MA | $39.37 | $36.59 – $39.59 | 630 | 2 |
| Winnsboro, TX | $69.29 | $69.29 – $69.29 | 631 | 1 |
| Gibsonia, PA | $146.09 | $146.09 – $146.09 | 632 | 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.