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 |
|---|---|---|---|---|
| Asotin, WA | $0.00 | $0.00 – $0.00 | 24 | 1 |
| La Palma, CA | $21.12 | $21.12 – $21.12 | 25 | 1 |
| Burlington, NJ | $30.40 | $30.40 – $30.40 | 25 | 1 |
| Prosser, WA | $78.06 | $78.06 – $78.06 | 25 | 1 |
| Maplewood, NJ | $96.79 | $96.79 – $96.79 | 25 | 1 |
| Oradell, NJ | $0.00 | $0.00 – $0.00 | 25 | 1 |
| Dadeville, AL | $0.00 | $0.00 – $0.00 | 25 | 1 |
| Allendale, SC | $0.00 | $0.00 – $0.00 | 25 | 1 |
| Mantachie, MS | $0.00 | $0.00 – $0.00 | 25 | 1 |
| Stinson Beach, CA | $0.00 | $0.00 – $0.00 | 25 | 1 |
| Avon, ME | $69.32 | $69.32 – $69.32 | 25 | 1 |
| Blanding, UT | $118.11 | $118.11 – $118.11 | 26 | 1 |
| Gridley, CA | $0.00 | $0.00 – $0.00 | 26 | 1 |
| Jackson, NJ | $16.98 | $16.98 – $16.98 | 26 | 1 |
| Cheney, WA | $0.00 | $0.00 – $0.00 | 26 | 1 |
| Hardwick, VT | $420.08 | $420.08 – $420.08 | 26 | 1 |
| Mountain Home, TN | $82.92 | $82.92 – $82.92 | 26 | 1 |
| Danville, AR | $58.80 | $58.80 – $58.80 | 26 | 1 |
| Avenal, CA | $30.77 | $30.77 – $30.77 | 26 | 1 |
| Plankinton, SD | $0.00 | $0.00 – $0.00 | 26 | 1 |
| Paoli, IN | $11.47 | $11.47 – $11.47 | 27 | 1 |
| Koloa, HI | $537.78 | $537.78 – $537.78 | 27 | 1 |
| Wayne, MI | $60.00 | $60.00 – $60.00 | 27 | 1 |
| Edgewater, FL | $96.95 | $96.95 – $96.95 | 27 | 1 |
| Lafayette, AL | $50.07 | $50.07 – $50.07 | 27 | 1 |
| Greensboro, MD | $185.34 | $185.34 – $185.34 | 27 | 1 |
| Greenwood Lake, NY | $125.79 | $125.79 – $125.79 | 27 | 1 |
| Hodge, LA | $0.00 | $0.00 – $0.00 | 27 | 1 |
| Hiko, NV | $29.63 | $29.63 – $29.63 | 27 | 1 |
| Newburyport, MA | $0.00 | $0.00 – $0.00 | 28 | 1 |
| Warren, AR | $108.84 | $108.84 – $108.84 | 28 | 1 |
| Glen Ellyn, IL | $77.77 | $77.77 – $77.77 | 28 | 1 |
| North Augusta, SC | $11.49 | $11.49 – $11.49 | 28 | 1 |
| Canton, GA | $36.91 | $36.91 – $36.91 | 28 | 1 |
| Royal Palm Beach, FL | $0.00 | $0.00 – $0.00 | 28 | 1 |
| Sauk City, WI | $0.83 | $0.83 – $0.83 | 28 | 1 |
| Barrow, AK | $43.27 | $43.27 – $43.27 | 28 | 1 |
| Surry, ME | $109.29 | $109.29 – $109.29 | 28 | 1 |
| Sunnyvale, CA | $15.50 | $15.50 – $15.50 | 29 | 1 |
| Maynardville, TN | $17.00 | $17.00 – $17.00 | 29 | 1 |
| Johnstown, NY | $1,663 | $0.00 – $3,709 | 29 | 2 |
| Fort Wainwright, AK | $0.00 | $0.00 – $0.00 | 29 | 1 |
| Castledale, UT | $50.20 | $50.20 – $50.20 | 29 | 1 |
| Quantico, MD | $219.13 | $219.13 – $219.13 | 29 | 1 |
| Willow Grove, PA | $35.47 | $35.47 – $35.47 | 30 | 1 |
| Tomah, WI | $22.40 | $22.40 – $22.40 | 30 | 1 |
| Florissant, MO | $0.00 | $0.00 – $0.00 | 30 | 1 |
| Vanceburg, KY | $6.76 | $6.76 – $6.76 | 30 | 1 |
| Yachats, OR | $0.00 | $0.00 – $0.00 | 30 | 1 |
| Litchfield, IL | $75.06 | $75.06 – $75.06 | 30 | 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.