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 |
|---|---|---|---|---|
| Eagle, CO | $0.00 | $0.00 – $0.00 | 1,941 | 1 |
| El Dorado, AR | $79.61 | $65.90 – $105.16 | 1,943 | 11 |
| Encinitas, CA | $61.92 | $0.00 – $64.64 | 1,945 | 2 |
| Unity, ME | $85.41 | $85.41 – $85.41 | 1,947 | 1 |
| Sterling, MI | $0.44 | $0.44 – $0.44 | 1,952 | 1 |
| Mexico, MO | $40.64 | $7.72 – $57.02 | 1,954 | 2 |
| Angola, IN | $58.55 | $30.55 – $128.08 | 1,958 | 2 |
| Shingle Springs, CA | $117.35 | $117.35 – $117.35 | 1,962 | 1 |
| Lehi, UT | $69.00 | $69.00 – $69.00 | 1,964 | 1 |
| Beavercreek, OR | $23.48 | $23.48 – $23.48 | 1,968 | 1 |
| Edinburg, TX | $43.85 | $8.07 – $57.18 | 1,969 | 4 |
| Amherst, OH | $98.43 | $35.79 – $126.93 | 1,970 | 6 |
| Burlington, MA | $23.96 | $9.58 – $30.11 | 1,975 | 2 |
| Warsaw, NC | $154.35 | $154.35 – $154.35 | 1,983 | 1 |
| Oak Ridge, TN | $82.82 | $49.30 – $114.29 | 1,985 | 3 |
| Peru, IL | $32.69 | $32.69 – $32.69 | 1,986 | 1 |
| Coatesville, PA | $7.28 | $7.28 – $7.28 | 1,992 | 1 |
| Bandon, OR | $4.33 | $4.33 – $4.33 | 1,992 | 1 |
| Murrells Inlet, SC | $49.80 | $19.12 – $50.83 | 1,994 | 3 |
| Greenbrae, CA | $302.08 | $0.00 – $311.29 | 1,995 | 2 |
| Tifton, GA | $0.00 | $0.00 – $0.00 | 2,008 | 3 |
| Prince George, VA | $41.45 | $1.63 – $136.87 | 2,009 | 5 |
| Fayetteville, AR | $142.75 | $0.00 – $662.50 | 2,010 | 8 |
| Lancaster, WI | $32.80 | $29.88 – $37.43 | 2,010 | 3 |
| Brookfield, CT | $3.02 | $0.00 – $168.80 | 2,011 | 2 |
| Everett, MA | $1.57 | $1.57 – $1.57 | 2,011 | 1 |
| Muskegon Heights, MI | $19.00 | $19.00 – $19.00 | 2,015 | 1 |
| Berlin Heights, OH | $141.31 | $141.31 – $141.31 | 2,021 | 1 |
| Jones, OK | $65.86 | $65.86 – $65.86 | 2,022 | 1 |
| Dickson, TN | $75.80 | $75.80 – $75.80 | 2,023 | 1 |
| Omar, WV | $121.10 | $121.10 – $121.10 | 2,023 | 1 |
| Morrilton, AR | $80.63 | $70.38 – $84.89 | 2,024 | 3 |
| Citrus Heights, CA | $155.80 | $0.00 – $228.68 | 2,032 | 5 |
| Woodruff, WI | $32.34 | $31.87 – $52.63 | 2,034 | 2 |
| Bloomville, OH | $131.36 | $124.57 – $213.70 | 2,034 | 2 |
| Gautier, MS | $18.96 | $0.00 – $19.11 | 2,037 | 2 |
| Beaufort, SC | $60.77 | $60.23 – $64.28 | 2,043 | 2 |
| New Richmond, WI | $36.22 | $0.00 – $50.08 | 2,044 | 3 |
| Lowell, IN | $66.27 | $66.27 – $66.27 | 2,044 | 1 |
| Skiatook, OK | $53.83 | $47.44 – $55.56 | 2,050 | 3 |
| Camden, TN | $81.29 | $81.29 – $81.29 | 2,053 | 1 |
| Highland Heights, KY | $67.82 | $34.27 – $153.75 | 2,054 | 6 |
| Battle Ground, WA | $111.76 | $0.00 – $167.20 | 2,062 | 5 |
| South Windsor, CT | $0.00 | $0.00 – $0.00 | 2,063 | 2 |
| Proctorville, OH | $50.33 | $0.00 – $95.76 | 2,067 | 6 |
| Winnemucca, NV | $109.81 | $0.00 – $113.06 | 2,067 | 4 |
| Londonderry, NH | $50.90 | $27.93 – $131.91 | 2,069 | 2 |
| Williamston, NC | $219.45 | $206.60 – $225.96 | 2,075 | 2 |
| Canfield, OH | $90.64 | $0.00 – $126.45 | 2,075 | 5 |
| Green Lake, WI | $33.32 | $28.49 – $33.78 | 2,075 | 2 |
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.