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 |
|---|---|---|---|---|
| Pittston, ME | $42.05 | $42.05 – $42.05 | 18 | 1 |
| Sallisaw, AR | $60.37 | $60.37 – $60.37 | 18 | 1 |
| Brooklin, ME | $79.93 | $79.93 – $79.93 | 18 | 1 |
| Newburgh, IN | $0.00 | $0.00 – $0.00 | 19 | 1 |
| Millersburg, OH | $93.83 | $93.83 – $93.83 | 19 | 1 |
| Deland, FL | $14.84 | $14.84 – $14.84 | 19 | 1 |
| Troy, MO | $0.00 | $0.00 – $0.00 | 19 | 1 |
| Maryville, IL | $89.48 | $89.48 – $89.48 | 19 | 1 |
| Sutton, WV | $0.00 | $0.00 – $0.00 | 19 | 1 |
| Colfax, WI | $27.91 | $27.91 – $27.91 | 19 | 1 |
| Altavista, VA | $22.74 | $22.74 – $22.74 | 19 | 1 |
| Fairlee, VT | $0.00 | $0.00 – $0.00 | 19 | 1 |
| Intercession City, FL | $68.08 | $68.08 – $68.08 | 19 | 1 |
| Glenn Dale, MD | $50.48 | $50.48 – $50.48 | 20 | 1 |
| Hingham, MA | $0.00 | $0.00 – $0.00 | 20 | 1 |
| Macclenny, FL | $22.25 | $22.25 – $22.25 | 20 | 1 |
| Smithfield, VA | $15.17 | $15.17 – $15.17 | 20 | 1 |
| Sahuartia, AZ | $0.00 | $0.00 – $0.00 | 20 | 1 |
| Lovettsville, VA | $3.75 | $3.75 – $3.75 | 20 | 1 |
| San Juan, PR | $0.00 | $0.00 – $0.00 | 21 | 1 |
| Viroqua, WI | $3.60 | $3.60 – $3.60 | 21 | 1 |
| Albertville, AL | $0.00 | $0.00 – $0.00 | 21 | 1 |
| Altoona, IA | $0.00 | $0.00 – $0.00 | 21 | 1 |
| Webster, WI | $40.54 | $40.54 – $40.54 | 21 | 1 |
| Plymouth, NH | $99.60 | $99.60 – $99.60 | 21 | 1 |
| Mcdowell, KY | $20.16 | $20.16 – $20.16 | 21 | 1 |
| Pride, LA | $8.75 | $8.75 – $8.75 | 21 | 1 |
| Disputanta, VA | $0.00 | $0.00 – $0.00 | 21 | 1 |
| Vernon Hills, IL | $0.00 | $0.00 – $0.00 | 22 | 1 |
| Hartland, WI | $12.96 | $12.96 – $12.96 | 22 | 1 |
| Brentwood, MD | $0.00 | $0.00 – $0.00 | 22 | 1 |
| Red Bank, TN | $1.09 | $1.09 – $1.09 | 22 | 1 |
| Stebbins, AK | $819.09 | $819.09 – $819.09 | 22 | 1 |
| Crown City, OH | $39.08 | $39.08 – $39.08 | 22 | 1 |
| Palmer, MA | $32.64 | $32.64 – $32.64 | 23 | 1 |
| Breckenridge, CO | $164.54 | $164.54 – $164.54 | 23 | 1 |
| Oswego, IL | $91.76 | $91.76 – $91.76 | 23 | 1 |
| Jbphh, HI | $0.00 | $0.00 – $0.00 | 23 | 1 |
| Fossil, OR | $0.00 | $0.00 – $0.00 | 23 | 1 |
| Pratt, KS | $86.17 | $86.17 – $86.17 | 24 | 1 |
| Westborough, MA | $40.22 | $40.22 – $40.22 | 24 | 1 |
| Fort Leonard Wood, MO | $0.00 | $0.00 – $0.00 | 24 | 1 |
| Castleton, NY | $0.00 | $0.00 – $0.00 | 24 | 1 |
| Tenafly, NJ | $0.04 | $0.04 – $0.04 | 24 | 1 |
| Charlestown, IN | $0.00 | $0.00 – $0.00 | 24 | 1 |
| Swainsboro, GA | $32.49 | $32.49 – $32.49 | 24 | 1 |
| Edgartown, MA | $0.00 | $0.00 – $0.00 | 24 | 1 |
| Mill Valley, CA | $9.10 | $9.10 – $9.10 | 24 | 1 |
| Vestavia Hls, AL | $55.57 | $55.57 – $55.57 | 24 | 1 |
| Essex, VT | $990.96 | $990.96 – $990.96 | 24 | 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.