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 |
|---|---|---|---|---|
| Brookline, MA | $35.89 | $0.00 – $47.57 | 1,385 | 4 |
| Fort Sill, OK | $52.05 | $10.08 – $70.83 | 1,386 | 6 |
| Oxon Hill, MD | $77.14 | $0.35 – $96.51 | 1,386 | 7 |
| Chester, SC | $39.38 | $35.87 – $48.48 | 1,387 | 2 |
| Ashburn, GA | $0.00 | $0.00 – $0.00 | 1,388 | 1 |
| Heber Springs, AR | $83.09 | $83.09 – $83.09 | 1,391 | 1 |
| Parsons, WV | $0.00 | $0.00 – $0.00 | 1,391 | 1 |
| South Plainfield, NJ | $149.97 | $120.81 – $1,161 | 1,392 | 2 |
| Wolfeboro, NH | $110.37 | $110.37 – $110.37 | 1,392 | 1 |
| Milton Freewater, OR | $2.73 | $0.99 – $74.20 | 1,392 | 3 |
| Bluffdale, UT | $54.40 | $54.40 – $54.40 | 1,395 | 1 |
| Oconomowoc, WI | $35.10 | $2.03 – $36.94 | 1,403 | 4 |
| Williamsburg, KY | $35.91 | $13.66 – $40.25 | 1,405 | 2 |
| Columbus, KS | $62.81 | $0.00 – $67.46 | 1,409 | 2 |
| Petrolia, PA | $140.53 | $140.53 – $140.53 | 1,409 | 1 |
| Glendale, WI | $19.12 | $0.00 – $47.23 | 1,410 | 6 |
| Independence, KY | $14.27 | $14.27 – $14.27 | 1,415 | 1 |
| Nevada City, CA | $71.17 | $0.00 – $85.70 | 1,415 | 3 |
| Mt Vernon, KY | $42.46 | $42.46 – $42.46 | 1,416 | 1 |
| Rochelle, GA | $0.00 | $0.00 – $0.00 | 1,425 | 1 |
| Denton, TX | $123.69 | $66.33 – $128.74 | 1,426 | 3 |
| Bennettsville, SC | $78.41 | $78.41 – $78.41 | 1,426 | 1 |
| Freeport, ME | $76.62 | $54.25 – $102.22 | 1,426 | 6 |
| Neah Bay, WA | $54.23 | $54.23 – $54.23 | 1,428 | 1 |
| Jerome, ID | $71.99 | $68.93 – $74.11 | 1,428 | 2 |
| Saunderstown, RI | $42.74 | $42.74 – $42.74 | 1,431 | 1 |
| Del Valle, TX | $62.18 | $62.18 – $62.18 | 1,432 | 1 |
| Mount Juliet, TN | $37.80 | $7.80 – $74.69 | 1,434 | 2 |
| Douglas, GA | $54.75 | $54.75 – $54.75 | 1,434 | 1 |
| Spring Hill, TN | $254.89 | $16.62 – $293.00 | 1,438 | 3 |
| Bisbee, AZ | $46.82 | $29.85 – $98.85 | 1,439 | 2 |
| Flanders, NJ | $37.90 | $37.71 – $38.84 | 1,440 | 2 |
| Rainier, OR | $135.57 | $0.00 – $187.89 | 1,440 | 2 |
| Kings Bay, GA | $57.54 | $57.54 – $57.54 | 1,443 | 1 |
| Millinocket, ME | $99.80 | $39.42 – $100.60 | 1,447 | 2 |
| Bethel, ME | $97.37 | $90.11 – $129.16 | 1,447 | 2 |
| Ferriday, LA | $105.83 | $90.44 – $134.39 | 1,450 | 2 |
| Mount Sterling, IL | $51.44 | $49.26 – $52.43 | 1,450 | 2 |
| Kearney, NE | $47.31 | $37.15 – $50.76 | 1,455 | 3 |
| Webster City, IA | $55.36 | $55.36 – $55.36 | 1,460 | 1 |
| Alvin, TX | $57.57 | $57.57 – $57.57 | 1,466 | 1 |
| Darlington, WI | $71.43 | $71.43 – $71.43 | 1,468 | 1 |
| Newfane, NY | $10.75 | $10.75 – $10.75 | 1,473 | 1 |
| Spring Lake, MI | $55.45 | $55.45 – $55.45 | 1,474 | 1 |
| Bulls Gap, TN | $229.19 | $229.19 – $229.19 | 1,479 | 1 |
| Lucasville, OH | $73.76 | $73.76 – $73.76 | 1,479 | 1 |
| Oh, OH | $192.62 | $192.62 – $192.62 | 1,480 | 1 |
| Clarksdale, MS | $21.97 | $0.00 – $22.17 | 1,481 | 2 |
| Whitesboro, NY | $35.59 | $8.23 – $36.12 | 1,481 | 2 |
| Soper, OK | $75.38 | $75.38 – $75.38 | 1,482 | 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.