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 |
|---|---|---|---|---|
| New Port Richey, FL | $9.14 | $0.00 – $27.75 | 2,263 | 4 |
| Upper Sandusky, OH | $201.99 | $201.99 – $201.99 | 2,263 | 1 |
| Caruthers, CA | $42.30 | $18.88 – $54.71 | 2,270 | 2 |
| Barron, WI | $14.51 | $14.23 – $24.41 | 2,275 | 4 |
| Saint Joseph, MN | $474.53 | $474.53 – $474.53 | 2,276 | 1 |
| Grayslake, IL | $66.88 | $28.34 – $68.85 | 2,284 | 2 |
| Monterey Park, CA | $0.02 | $0.02 – $0.02 | 2,288 | 1 |
| Hillsdale, MI | $174.57 | $174.57 – $174.57 | 2,290 | 1 |
| Port Washington, WI | $30.84 | $29.34 – $31.96 | 2,295 | 2 |
| Marengo, IN | $73.80 | $73.80 – $73.80 | 2,295 | 1 |
| Waterford, WI | $9.79 | $9.79 – $9.79 | 2,296 | 1 |
| Pleasanton, CA | $315.17 | $16.94 – $365.71 | 2,298 | 2 |
| Helena, AR | $90.29 | $56.55 – $106.19 | 2,299 | 5 |
| Stryker, OH | $106.39 | $7.88 – $139.05 | 2,300 | 4 |
| Elizabeth, CO | $46.63 | $44.90 – $112.34 | 2,303 | 3 |
| Taholah, WA | $39.79 | $39.79 – $39.79 | 2,307 | 1 |
| Buxton, ME | $92.28 | $52.39 – $95.96 | 2,308 | 2 |
| Troutman, NC | $148.19 | $148.19 – $148.19 | 2,316 | 1 |
| Burlington, KS | $76.85 | $76.85 – $76.85 | 2,319 | 1 |
| California, MO | $57.13 | $57.13 – $57.13 | 2,319 | 1 |
| La Push, WA | $69.69 | $69.69 – $69.69 | 2,319 | 1 |
| Paris, ID | $170.73 | $170.73 – $170.73 | 2,326 | 1 |
| Hollis Center, ME | $173.74 | $173.74 – $173.74 | 2,329 | 1 |
| Lakeland, FL | $66.41 | $2.63 – $219.03 | 2,333 | 14 |
| Marshall, MI | $0.00 | $0.00 – $0.00 | 2,335 | 1 |
| Smyrna, TN | $193.48 | $13.45 – $291.16 | 2,337 | 2 |
| Kingfisher, OK | $52.51 | $0.00 – $67.23 | 2,341 | 4 |
| Rockport, ME | $103.49 | $65.85 – $112.74 | 2,342 | 3 |
| Craig, CO | $35.65 | $26.17 – $36.57 | 2,342 | 3 |
| Jay, OK | $86.69 | $0.00 – $182.27 | 2,346 | 9 |
| Interlachen, FL | $73.38 | $73.38 – $73.38 | 2,348 | 1 |
| Heppner, OR | $42.42 | $0.00 – $44.80 | 2,349 | 3 |
| Liberty Township, OH | $40.37 | $40.37 – $40.37 | 2,351 | 1 |
| Needles, CA | $77.42 | $77.42 – $77.42 | 2,351 | 1 |
| Scarsdale, NY | $31.42 | $8.14 – $57.21 | 2,365 | 2 |
| Mckinleyville, CA | $3.10 | $0.00 – $24.00 | 2,377 | 12 |
| Lanoka Harbor, NJ | $43.82 | $3.58 – $117.28 | 2,380 | 7 |
| Highland, AR | $87.67 | $87.67 – $87.67 | 2,385 | 1 |
| Coventry, RI | $16.33 | $16.24 – $20.62 | 2,393 | 2 |
| Truckee, CA | $68.20 | $17.37 – $100.54 | 2,394 | 2 |
| Sylmar, CA | $0.00 | $0.00 – $0.00 | 2,398 | 2 |
| Burkesville, KY | $82.92 | $82.92 – $82.92 | 2,404 | 1 |
| Bensalem, PA | $361.39 | $361.39 – $361.39 | 2,410 | 1 |
| Chester, VA | $206.86 | $19.21 – $228.20 | 2,411 | 3 |
| Turner, OR | $18.61 | $17.12 – $123.16 | 2,419 | 2 |
| Blue Springs, MO | $0.00 | $0.00 – $0.00 | 2,420 | 1 |
| Bellerose, NY | $1.03 | $1.03 – $1.03 | 2,425 | 1 |
| Ansonia, CT | $30.65 | $0.00 – $147.48 | 2,425 | 3 |
| New Providence, NJ | $42.17 | $42.17 – $42.17 | 2,425 | 1 |
| Orting, WA | $19.27 | $19.27 – $19.27 | 2,428 | 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.