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 Carlisle, OH | $103.45 | $97.48 – $160.25 | 2,974 | 3 |
| Fillmore, CA | $80.67 | $80.67 – $80.67 | 2,977 | 1 |
| Clearwater, FL | $24.32 | $0.00 – $71.98 | 2,978 | 11 |
| Noble, OK | $61.68 | $0.00 – $67.72 | 2,979 | 8 |
| Toppenish, WA | $67.69 | $0.00 – $79.83 | 2,980 | 6 |
| Vassalboro, ME | $121.01 | $121.01 – $121.01 | 2,980 | 1 |
| Lamar, CO | $25.71 | $10.00 – $92.09 | 2,984 | 3 |
| Alliance, OH | $89.05 | $0.00 – $356.94 | 2,988 | 8 |
| Woodland Park, CO | $34.34 | $0.00 – $150.79 | 2,992 | 6 |
| Campbell, CA | $9.15 | $0.00 – $87.36 | 2,999 | 3 |
| Bear, DE | $83.52 | $83.52 – $83.52 | 3,006 | 1 |
| Oconto Falls, WI | $18.69 | $18.69 – $18.69 | 3,008 | 1 |
| Pocola, OK | $70.48 | $70.48 – $70.48 | 3,013 | 1 |
| Waterloo, NY | $151.96 | $44.99 – $153.07 | 3,019 | 2 |
| Saint Louis Park, MN | $852.40 | $852.40 – $852.40 | 3,020 | 1 |
| Bourneville, OH | $150.50 | $150.50 – $150.50 | 3,020 | 1 |
| Coalport, PA | $64.72 | $64.72 – $64.72 | 3,030 | 1 |
| Toledo, IL | $77.68 | $77.68 – $77.68 | 3,030 | 1 |
| Mahnomen, MN | $10,105 | $306.53 – $10,165 | 3,037 | 3 |
| Roland, OK | $62.94 | $62.94 – $62.94 | 3,038 | 1 |
| Plaquemine, LA | $7.87 | $0.00 – $11.61 | 3,038 | 3 |
| Osseo, WI | $9.80 | $9.80 – $9.80 | 3,045 | 1 |
| Eastford, CT | $128.98 | $128.98 – $128.98 | 3,057 | 1 |
| Cedar Park, TX | $53.23 | $4.19 – $105.86 | 3,066 | 2 |
| Northfield, NJ | $74.84 | $0.00 – $78.50 | 3,067 | 5 |
| Colo Spgs, CO | $19.42 | $19.42 – $19.42 | 3,067 | 1 |
| Hiram, ME | $77.42 | $77.42 – $77.42 | 3,071 | 1 |
| Hermitage, TN | $97.14 | $12.88 – $137.22 | 3,079 | 3 |
| Manhattan Beach, CA | $0.02 | $0.00 – $0.04 | 3,079 | 3 |
| Columbus, WI | $8.41 | $8.41 – $8.41 | 3,092 | 1 |
| Amery, WI | $2,151 | $183.80 – $2,280 | 3,096 | 2 |
| London, OH | $99.45 | $39.34 – $167.65 | 3,100 | 7 |
| Lancaster, VA | $315.34 | $315.34 – $315.34 | 3,104 | 1 |
| Fallston, MD | $107.26 | $107.26 – $107.26 | 3,111 | 1 |
| Oceanside, NY | $53.12 | $53.12 – $53.12 | 3,112 | 1 |
| Umatilla, OR | $220.84 | $220.84 – $220.84 | 3,112 | 1 |
| Daphne, AL | $153.24 | $0.00 – $198.12 | 3,113 | 3 |
| Pflugerville, TX | $45.45 | $30.70 – $50.42 | 3,113 | 2 |
| University Heights, OH | $50.25 | $37.91 – $94.80 | 3,116 | 4 |
| Hancock, MI | $64.62 | $31.69 – $97.13 | 3,118 | 3 |
| Ripley, OH | $102.66 | $102.66 – $102.66 | 3,126 | 1 |
| Cuyahoga Falls, OH | $128.32 | $15.33 – $206.56 | 3,128 | 8 |
| Sheridan, AR | $89.71 | $72.07 – $91.38 | 3,129 | 2 |
| York, ME | $98.75 | $63.35 – $104.11 | 3,131 | 3 |
| Yelm, WA | $16.98 | $0.00 – $120.26 | 3,152 | 5 |
| Ripley, WV | $93.64 | $87.29 – $115.23 | 3,153 | 3 |
| Howard, OH | $17.57 | $17.57 – $17.57 | 3,159 | 1 |
| Fort Mill, SC | $159.09 | $102.04 – $183.38 | 3,161 | 2 |
| Liberty, ME | $68.95 | $68.95 – $68.95 | 3,163 | 1 |
| Ashland, OH | $92.18 | $17.97 – $114.33 | 3,167 | 3 |
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.