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 |
|---|---|---|---|---|
| Taylorville, IL | $59.25 | $59.25 – $59.25 | 1,484 | 1 |
| Tustin, CA | $0.02 | $0.00 – $0.08 | 1,487 | 6 |
| Lihue, HI | $16.85 | $0.00 – $76.07 | 1,490 | 2 |
| Leesburg, FL | $43.19 | $0.24 – $62.65 | 1,490 | 4 |
| Mckinney, TX | $329.73 | $49.04 – $738.50 | 1,491 | 2 |
| South Portsmouth, KY | $190.60 | $190.60 – $190.60 | 1,501 | 1 |
| Sedro Woolley, WA | $101.07 | $0.00 – $178.68 | 1,502 | 8 |
| Chicopee, MA | $45.26 | $9.48 – $70.37 | 1,504 | 9 |
| Independence, OH | $104.48 | $19.36 – $240.48 | 1,506 | 8 |
| Magnolia, AR | $87.30 | $54.68 – $95.19 | 1,508 | 4 |
| Allegan, MI | $640.64 | $640.64 – $640.64 | 1,515 | 1 |
| Frankfort, OH | $141.91 | $141.91 – $141.91 | 1,519 | 1 |
| Bedford Heights, OH | $106.08 | $58.70 – $115.69 | 1,525 | 2 |
| Springfield, ME | $1,375 | $1,375 – $1,375 | 1,527 | 1 |
| Zephyrhills, FL | $0.00 | $0.00 – $0.01 | 1,529 | 4 |
| Chiloquin, OR | $492.82 | $492.82 – $492.82 | 1,529 | 1 |
| Middleport, OH | $33.14 | $24.76 – $35.24 | 1,530 | 2 |
| Heyburn, ID | $52.68 | $52.40 – $55.53 | 1,532 | 2 |
| Hales Corners, WI | $37.53 | $37.53 – $37.53 | 1,536 | 1 |
| Big Rapids, MI | $21.40 | $5.90 – $24.19 | 1,538 | 2 |
| Sheridan, WY | $101.83 | $14.24 – $125.20 | 1,539 | 6 |
| Luverne, MN | $60.20 | $60.20 – $60.20 | 1,539 | 1 |
| Gloucester City, NJ | $110.09 | $110.09 – $110.09 | 1,539 | 1 |
| Walnut Ridge, AR | $87.82 | $86.88 – $88.10 | 1,542 | 2 |
| Flagler Beach, FL | $38.64 | $38.64 – $38.64 | 1,546 | 1 |
| Vienna, VA | $75.52 | $75.52 – $75.52 | 1,551 | 1 |
| Pomeroy, OH | $85.10 | $29.31 – $111.36 | 1,553 | 4 |
| Temple, TX | $32.52 | $17.27 – $80.48 | 1,564 | 3 |
| Royal Oak, MI | $26.24 | $0.00 – $92.74 | 1,567 | 4 |
| Jackson, WI | $23.47 | $23.47 – $23.47 | 1,569 | 1 |
| Belpre, OH | $137.60 | $65.50 – $143.24 | 1,571 | 2 |
| Keokuk, IA | $0.00 | $0.00 – $0.00 | 1,572 | 1 |
| Fostoria, OH | $45.37 | $1.13 – $58.35 | 1,574 | 3 |
| Taneytown, MD | $120.82 | $120.82 – $120.82 | 1,577 | 1 |
| San Fernando, CA | $1.18 | $0.00 – $16.10 | 1,583 | 8 |
| Davis, OK | $57.06 | $57.06 – $57.06 | 1,583 | 1 |
| Oakhurst, CA | $31.67 | $0.00 – $32.24 | 1,584 | 2 |
| Boardman, OR | $2.53 | $0.00 – $11.35 | 1,585 | 5 |
| Somerset, NJ | $46.13 | $34.05 – $47.95 | 1,589 | 2 |
| Killeen, TX | $70.20 | $70.20 – $70.20 | 1,591 | 1 |
| Avon, CT | $0.00 | $0.00 – $0.00 | 1,591 | 1 |
| Prescott, WI | $66.91 | $66.91 – $66.91 | 1,592 | 1 |
| Holiday, FL | $4.61 | $4.61 – $4.61 | 1,595 | 1 |
| Oceano, CA | $101.61 | $101.61 – $101.61 | 1,597 | 1 |
| Pennsville, NJ | $46.10 | $4.23 – $77.33 | 1,601 | 2 |
| Mayfield, KY | $12.56 | $0.00 – $93.16 | 1,602 | 2 |
| Newton, IA | $0.01 | $0.01 – $0.01 | 1,608 | 1 |
| Arlington, TX | $108.22 | $0.00 – $197.95 | 1,613 | 3 |
| Brilliant, OH | $118.23 | $18.04 – $180.28 | 1,613 | 5 |
| Weaverville, CA | $90.00 | $90.00 – $90.00 | 1,618 | 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.