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 |
|---|---|---|---|---|
| Maple Lake, MN | $959.78 | $959.78 – $959.78 | 889 | 1 |
| Lauderdale Lakes, FL | $66.42 | $66.42 – $66.42 | 893 | 1 |
| La Pine, OR | $118.10 | $0.00 – $157.25 | 895 | 7 |
| Fountain Valley, CA | $8.90 | $0.00 – $28.65 | 898 | 7 |
| Madison, NC | $104.00 | $104.00 – $104.00 | 901 | 1 |
| Tokeland, WA | $37.16 | $37.16 – $37.16 | 901 | 1 |
| Bel Alton, MD | $50.58 | $50.58 – $50.58 | 902 | 1 |
| Thornville, OH | $132.30 | $20.78 – $145.24 | 903 | 3 |
| Roy, UT | $123.76 | $123.76 – $123.76 | 903 | 1 |
| Bar Harbor, ME | $77.54 | $53.44 – $83.57 | 904 | 2 |
| Nassau, NY | $48.94 | $48.94 – $48.94 | 904 | 1 |
| Windsor, NC | $10.77 | $10.77 – $10.77 | 905 | 1 |
| Stevensville, MI | $258.86 | $258.86 – $258.86 | 905 | 1 |
| Willard, NC | $160.86 | $160.86 – $160.86 | 908 | 1 |
| Fort Walton Beach, FL | $14.56 | $14.10 – $15.39 | 909 | 2 |
| Park Forest, IL | $51.62 | $44.96 – $91.02 | 914 | 2 |
| Kihei, HI | $128.93 | $128.93 – $128.93 | 915 | 1 |
| Heber City, UT | $11.20 | $11.20 – $11.20 | 915 | 1 |
| Wynne, AR | $83.69 | $83.69 – $83.69 | 915 | 1 |
| Rolla, ND | $109.98 | $108.09 – $112.78 | 918 | 2 |
| Kenduskeag, ME | $74.07 | $74.07 – $74.07 | 921 | 1 |
| Camarillo, CA | $107.96 | $21.64 – $248.36 | 922 | 3 |
| Grafton, WI | $49.22 | $49.22 – $49.22 | 923 | 1 |
| Beulah, ND | $72.28 | $72.28 – $72.28 | 929 | 1 |
| Coconut Creek, FL | $0.05 | $0.00 – $2.97 | 930 | 3 |
| Montrose, IL | $37.32 | $37.32 – $37.32 | 930 | 1 |
| Stuart, FL | $44.24 | $0.00 – $63.25 | 932 | 2 |
| Burlington, ME | $45.61 | $45.61 – $45.61 | 934 | 1 |
| Waitsfield, VT | $88.61 | $88.61 – $88.61 | 936 | 1 |
| Corning, AR | $87.63 | $87.63 – $87.63 | 938 | 1 |
| Lake Tapps, WA | $0.00 | $0.00 – $0.00 | 939 | 2 |
| Cathlamet, WA | $0.33 | $0.00 – $5.71 | 944 | 3 |
| Bessemer, AL | $196.31 | $196.31 – $196.31 | 946 | 1 |
| Clayton, CA | $87.13 | $87.13 – $87.13 | 949 | 1 |
| Hominy, OK | $65.10 | $61.02 – $67.67 | 950 | 2 |
| Red Wing, MN | $95.08 | $64.41 – $132.21 | 952 | 4 |
| Council Hill, OK | $569.95 | $569.95 – $569.95 | 952 | 1 |
| Keshana, WI | $20.26 | $20.26 – $20.26 | 953 | 1 |
| Mexico, NY | $53.88 | $53.88 – $53.88 | 954 | 1 |
| Shepherdsville, KY | $21.27 | $14.53 – $37.35 | 956 | 3 |
| Newaygo, MI | $1.23 | $1.23 – $1.23 | 964 | 1 |
| Jeremiah, KY | $293.63 | $293.63 – $293.63 | 965 | 1 |
| Port Gibson, MS | $25.69 | $25.69 – $25.69 | 968 | 1 |
| Stratford, NJ | $0.01 | $0.01 – $0.01 | 968 | 1 |
| Bloomfield, NM | $65.85 | $65.85 – $65.85 | 968 | 1 |
| Gorman, CA | $0.00 | $0.00 – $0.00 | 969 | 1 |
| Cusick, WA | $0.44 | $0.44 – $0.44 | 972 | 1 |
| Elizabethtown, IL | $77.01 | $77.01 – $77.01 | 978 | 1 |
| Hummelstown, PA | $1,012 | $1,012 – $1,012 | 981 | 1 |
| Westville, NJ | $202.72 | $202.72 – $202.72 | 981 | 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.