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 |
|---|---|---|---|---|
| Jefferson, ME | $129.50 | $129.50 – $129.50 | 632 | 1 |
| Jefferson, TN | $0.59 | $0.59 – $0.59 | 633 | 1 |
| Coppell, TX | $15.49 | $15.49 – $15.49 | 634 | 1 |
| Summersville, WV | $0.00 | $0.00 – $0.00 | 634 | 5 |
| Chadds Ford, PA | $357.26 | $357.26 – $357.26 | 636 | 1 |
| Glen Cove, NY | $39.47 | $0.22 – $56.35 | 638 | 3 |
| Cherokee Village, AR | $58.82 | $58.82 – $58.82 | 640 | 1 |
| Natchitoches, LA | $109.30 | $32.60 – $112.54 | 642 | 2 |
| St Albans, VT | $90.93 | $90.93 – $90.93 | 643 | 1 |
| Spooner, WI | $62.94 | $56.47 – $64.92 | 643 | 4 |
| Jefferson, NC | $36.09 | $36.09 – $36.09 | 647 | 1 |
| Greensburg, PA | $4.88 | $0.00 – $6.85 | 648 | 2 |
| Collinsville, OK | $66.42 | $66.42 – $66.42 | 648 | 1 |
| Sweet Home, OR | $86.31 | $39.66 – $105.22 | 648 | 3 |
| Lilburn, GA | $182.61 | $182.61 – $182.61 | 651 | 1 |
| Copiague, NY | $64.73 | $64.73 – $64.73 | 652 | 1 |
| Winters, CA | $56.92 | $24.00 – $58.85 | 652 | 2 |
| South Yarmouth, MA | $41.32 | $37.64 – $42.48 | 655 | 2 |
| Harrington, DE | $77.24 | $77.24 – $77.24 | 658 | 1 |
| Glendora, CA | $0.00 | $0.00 – $0.00 | 659 | 1 |
| Oak Creek, WI | $13.87 | $0.00 – $32.82 | 659 | 4 |
| Owenton, KY | $65.93 | $65.93 – $65.93 | 660 | 1 |
| Whitelaw, WI | $23.08 | $23.08 – $23.08 | 660 | 1 |
| Wichita Falls, TX | $102.94 | $102.94 – $102.94 | 665 | 1 |
| Niceville, FL | $16.29 | $15.72 – $18.22 | 665 | 2 |
| Summerfield, FL | $68.20 | $10.50 – $76.32 | 665 | 2 |
| Cross Junction, VA | $956.15 | $956.15 – $956.15 | 665 | 1 |
| Chelsea, AL | $113.83 | $113.83 – $113.83 | 666 | 1 |
| Mount Vernon, IA | $75.00 | $75.00 – $75.00 | 668 | 1 |
| Land O Lakes, FL | $152.27 | $13.40 – $157.22 | 669 | 2 |
| Dublin, NH | $190.67 | $84.98 – $563.41 | 670 | 2 |
| Lawrenceville, GA | $127.35 | $0.00 – $139.15 | 672 | 2 |
| Pataskala, OH | $0.00 | $0.00 – $0.00 | 674 | 1 |
| Vernal, UT | $62.59 | $33.21 – $64.44 | 675 | 2 |
| Liberal, KS | $77.03 | $77.03 – $77.03 | 676 | 1 |
| Portland, CT | $128.35 | $128.35 – $128.35 | 676 | 1 |
| Grasonville, MD | $87.94 | $87.94 – $87.94 | 676 | 1 |
| Monmouth, ME | $101.07 | $101.07 – $101.07 | 677 | 1 |
| Nevis, MN | $2,554 | $2,554 – $2,554 | 678 | 1 |
| Palm City, FL | $17.64 | $16.61 – $28.29 | 679 | 3 |
| Coupeville, WA | $78.12 | $68.64 – $103.47 | 679 | 3 |
| Warrenton, NC | $96.07 | $96.07 – $96.07 | 680 | 1 |
| Red Oak, OK | $62.16 | $62.16 – $62.16 | 680 | 1 |
| Fort Benning, GA | $6.27 | $6.27 – $6.27 | 682 | 1 |
| Whitley City, KY | $37.14 | $2.33 – $49.24 | 682 | 2 |
| Shelton, CT | $62.23 | $0.00 – $138.46 | 687 | 5 |
| Liberty, KY | $62.97 | $62.97 – $62.97 | 687 | 1 |
| Swanville, ME | $115.54 | $115.54 – $115.54 | 688 | 1 |
| Wood Village, OR | $269.07 | $134.53 – $434.85 | 692 | 2 |
| Cromwell, CT | $160.88 | $160.88 – $160.88 | 693 | 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.