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 |
|---|---|---|---|---|
| Clearfield, UT | $94.95 | $47.28 – $312.32 | 695 | 2 |
| New Albany, IN | $123.27 | $105.77 – $127.71 | 696 | 2 |
| Turtle Creek, PA | $57.91 | $57.91 – $57.91 | 696 | 1 |
| Mount Carroll, IL | $64.22 | $64.22 – $64.22 | 697 | 1 |
| Marlow, OK | $65.02 | $65.02 – $65.02 | 698 | 1 |
| San Ysidro, CA | $1.34 | $0.88 – $1.84 | 699 | 2 |
| Lone Tree, CO | $106.44 | $7.42 – $108.75 | 700 | 2 |
| Newfane, VT | $1,074 | $1,074 – $1,074 | 700 | 1 |
| North St Paul, MN | $194.85 | $194.85 – $194.85 | 702 | 1 |
| Bison, OK | $68.29 | $68.29 – $68.29 | 702 | 1 |
| Menomonee Falls, WI | $17.68 | $16.69 – $26.87 | 703 | 3 |
| Homewood, AL | $73.57 | $73.57 – $73.57 | 703 | 1 |
| Arcanum, OH | $77.89 | $77.89 – $77.89 | 704 | 1 |
| Hale, MI | $0.00 | $0.00 – $0.00 | 705 | 1 |
| Temperance, MI | $182.48 | $0.00 – $207.41 | 706 | 4 |
| Antigo, WI | $27.84 | $25.49 – $32.05 | 707 | 2 |
| Letart, WV | $74.51 | $74.51 – $74.51 | 708 | 1 |
| New Hope, MN | $5.79 | $5.79 – $5.79 | 709 | 1 |
| Indian Twp, ME | $75.21 | $75.21 – $75.21 | 710 | 1 |
| Lubbock, TX | $2.00 | $0.00 – $18.96 | 711 | 10 |
| Genoa, OH | $162.27 | $162.27 – $162.27 | 712 | 1 |
| Radnor, PA | $63.19 | $20.38 – $72.02 | 714 | 2 |
| Milton, FL | $60.34 | $58.30 – $131.35 | 716 | 2 |
| Miles City, MT | $76.37 | $76.37 – $76.37 | 716 | 1 |
| Cerritos, CA | $0.00 | $0.00 – $0.00 | 717 | 4 |
| Arcadia, FL | $113.69 | $43.73 – $118.33 | 717 | 4 |
| Canadian, OK | $56.42 | $56.42 – $56.42 | 717 | 1 |
| Dewey, AZ | $37.63 | $37.63 – $37.63 | 723 | 1 |
| Norton Shores, MI | $128.92 | $128.92 – $128.92 | 725 | 1 |
| Holmes, NY | $25.69 | $25.69 – $25.69 | 725 | 1 |
| Tuskegee, AL | $52.76 | $52.76 – $52.76 | 726 | 1 |
| Corcoran, CA | $9.24 | $9.24 – $9.24 | 728 | 1 |
| Sabillasville, MD | $126.82 | $126.82 – $126.82 | 730 | 1 |
| Cardiff, CA | $12.47 | $12.47 – $12.47 | 731 | 1 |
| Lubec, ME | $60.85 | $60.85 – $60.85 | 732 | 1 |
| Sabattus, ME | $94.50 | $94.50 – $94.50 | 732 | 1 |
| Ocoee, FL | $42.59 | $17.15 – $53.40 | 734 | 2 |
| Leavittsburg, OH | $20.21 | $20.21 – $20.21 | 734 | 1 |
| Cusseta, GA | $0.00 | $0.00 – $0.00 | 735 | 1 |
| Fajardo, PR | $0.00 | $0.00 – $0.00 | 737 | 3 |
| Sedgwick, ME | $88.03 | $84.90 – $95.87 | 737 | 2 |
| Sacramentto, CA | $0.00 | $0.00 – $0.00 | 737 | 1 |
| Farmington, CT | $1.97 | $0.00 – $80.77 | 738 | 2 |
| Minerva, OH | $54.60 | $47.84 – $61.34 | 739 | 2 |
| Morris, MN | $76.55 | $76.55 – $76.55 | 739 | 1 |
| Washburn, WI | $2.10 | $2.10 – $2.10 | 740 | 1 |
| Beaver, OH | $41.83 | $20.04 – $96.84 | 740 | 2 |
| Clinton, NC | $20.19 | $0.00 – $106.87 | 741 | 2 |
| Jacksonville Beach, FL | $24.14 | $1.20 – $26.28 | 741 | 4 |
| Belmond, IA | $71.83 | $71.83 – $71.83 | 743 | 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.