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 |
|---|---|---|---|---|
| Kotzebue, AK | $733.93 | $626.91 – $734.84 | 2,617 | 2 |
| Deforest, WI | $25.86 | $25.86 – $25.86 | 2,620 | 1 |
| Pittsburgh, PA | $79.14 | $0.00 – $154.01 | 2,625 | 10 |
| Sonora, CA | $14.07 | $14.07 – $14.07 | 2,625 | 1 |
| Park Rapids, MN | $1,407 | $27.98 – $1,656 | 2,625 | 3 |
| Bellbrook, OH | $106.66 | $60.84 – $125.53 | 2,626 | 2 |
| Canal Winchester, OH | $57.00 | $0.00 – $167.24 | 2,629 | 4 |
| East Wenatchee, WA | $1.87 | $0.00 – $3.41 | 2,629 | 9 |
| Dunn, NC | $122.79 | $122.79 – $122.79 | 2,635 | 1 |
| South Beloit, IL | $20.09 | $20.09 – $20.09 | 2,646 | 1 |
| Burton, MI | $1.66 | $1.66 – $1.66 | 2,655 | 1 |
| Sherman, TX | $55.31 | $53.41 – $66.52 | 2,658 | 3 |
| Bath, ME | $87.56 | $68.01 – $105.02 | 2,662 | 4 |
| Medway, OH | $120.72 | $120.72 – $120.72 | 2,664 | 1 |
| Pittfield, IL | $72.81 | $72.81 – $72.81 | 2,667 | 1 |
| Levant, ME | $79.50 | $77.10 – $81.28 | 2,670 | 2 |
| Saint Cloud, FL | $28.76 | $0.00 – $115.79 | 2,672 | 3 |
| Spencer, IN | $52.89 | $52.89 – $52.89 | 2,672 | 1 |
| New Castle, PA | $139.72 | $0.95 – $207.21 | 2,674 | 2 |
| King City, CA | $229.13 | $183.00 – $248.37 | 2,674 | 2 |
| Livonia, MI | $115.47 | $85.07 – $141.02 | 2,681 | 3 |
| Hermon, ME | $87.95 | $79.45 – $94.87 | 2,685 | 2 |
| Rego Park, NY | $31.23 | $0.00 – $117.77 | 2,692 | 7 |
| Clarkson, KY | $67.03 | $67.03 – $67.03 | 2,692 | 1 |
| Rock Springs, WY | $26.51 | $20.21 – $34.15 | 2,694 | 6 |
| Saint Pauls, NC | $145.32 | $145.32 – $145.32 | 2,695 | 1 |
| Beeville, TX | $62.47 | $20.14 – $62.91 | 2,702 | 2 |
| Montclair, CA | $0.29 | $0.00 – $10.82 | 2,710 | 5 |
| Diamond Springs, CA | $71.28 | $71.28 – $71.28 | 2,725 | 1 |
| Cabot, AR | $84.62 | $62.97 – $86.46 | 2,727 | 2 |
| Phillips, ME | $105.53 | $105.53 – $105.53 | 2,733 | 1 |
| Coventry Twp, OH | $200.97 | $159.12 – $201.33 | 2,736 | 2 |
| Radford, VA | $377.84 | $377.84 – $377.84 | 2,738 | 1 |
| Florissant, CO | $143.16 | $143.16 – $143.16 | 2,740 | 1 |
| Topsham, ME | $67.47 | $55.87 – $79.07 | 2,743 | 3 |
| Monticello, KY | $87.41 | $0.00 – $98.24 | 2,745 | 7 |
| Los Lunas, NM | $62.12 | $27.96 – $92.56 | 2,748 | 6 |
| Laurelton, NY | $33.56 | $31.83 – $36.67 | 2,748 | 2 |
| Davenport, FL | $0.06 | $0.00 – $0.97 | 2,749 | 3 |
| Watts, OK | $67.44 | $67.44 – $67.44 | 2,750 | 1 |
| Cathedral City, CA | $0.01 | $0.00 – $0.01 | 2,755 | 5 |
| Wabasso, MN | $72.59 | $72.59 – $72.59 | 2,757 | 1 |
| Jeffersonvlle, IN | $90.53 | $90.53 – $90.53 | 2,762 | 1 |
| New Martinsville, WV | $76.86 | $43.73 – $106.17 | 2,762 | 3 |
| Marinette, WI | $38.89 | $6.74 – $77.22 | 2,779 | 7 |
| Berlin, MD | $61.49 | $61.49 – $61.49 | 2,786 | 1 |
| Pipestone, MN | $729.18 | $729.18 – $729.18 | 2,792 | 1 |
| Bushkill, PA | $79.81 | $79.81 – $79.81 | 2,798 | 1 |
| Southborough, MA | $120.99 | $120.99 – $120.99 | 2,800 | 1 |
| Bethesda, MD | $53.76 | $53.71 – $65.39 | 2,805 | 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.