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 |
|---|---|---|---|---|
| Sutter Creek, CA | $39.39 | $0.00 – $42.92 | 4,477 | 2 |
| North Reading, MA | $127.84 | $100.71 – $127.99 | 4,478 | 2 |
| Newport, ME | $72.64 | $61.72 – $87.20 | 4,479 | 3 |
| Riverton, KS | $59.91 | $0.00 – $62.69 | 4,481 | 3 |
| Hollywood, FL | $62.41 | $2.15 – $129.23 | 4,485 | 5 |
| Marshall, IL | $104.52 | $60.57 – $104.93 | 4,490 | 2 |
| Gallatin, TN | $90.61 | $85.48 – $102.18 | 4,491 | 3 |
| Holtsville, NY | $55.34 | $55.34 – $55.34 | 4,497 | 1 |
| Ochelata, OK | $105.53 | $105.53 – $105.53 | 4,511 | 1 |
| Bristol, CT | $77.22 | $0.00 – $166.14 | 4,517 | 11 |
| Big Lake, MN | $760.88 | $37.11 – $1,059 | 4,520 | 4 |
| Milford, CT | $121.71 | $67.53 – $154.11 | 4,557 | 5 |
| Bondville, VT | $468.40 | $468.40 – $468.40 | 4,559 | 1 |
| Edgecomb, ME | $74.94 | $74.94 – $74.94 | 4,564 | 1 |
| Ocean, NJ | $105.39 | $21.44 – $110.25 | 4,566 | 2 |
| Egg Harbor Twp, NJ | $190.84 | $190.84 – $190.84 | 4,571 | 1 |
| Hokah, MN | $10.16 | $10.16 – $10.16 | 4,588 | 1 |
| Stanhope, NJ | $41.52 | $41.52 – $41.52 | 4,590 | 1 |
| Newport, RI | $31.33 | $16.24 – $55.33 | 4,594 | 2 |
| Marshalltown, IA | $2.74 | $0.00 – $60.03 | 4,598 | 2 |
| Baxter, MN | $99.96 | $78.06 – $150.16 | 4,598 | 6 |
| Lincoln Park, MI | $72.41 | $0.00 – $81.69 | 4,610 | 2 |
| Egg Harbor City, NJ | $92.76 | $92.76 – $92.76 | 4,614 | 1 |
| Tecumseh, OK | $61.28 | $0.00 – $67.63 | 4,621 | 6 |
| Wakefield, MI | $109.04 | $109.04 – $109.04 | 4,641 | 1 |
| Aurora, WV | $192.84 | $192.84 – $192.84 | 4,647 | 1 |
| Saint Ignace, MI | $20.36 | $20.36 – $20.36 | 4,659 | 1 |
| Meeker, CO | $552.96 | $24.47 – $608.48 | 4,660 | 2 |
| Elk Grove, CA | $198.18 | $0.00 – $342.63 | 4,664 | 5 |
| Harrisburg, OR | $38.34 | $33.73 – $68.12 | 4,667 | 3 |
| Malabar, FL | $75.27 | $0.00 – $79.29 | 4,672 | 2 |
| South Orange, NJ | $16.40 | $16.40 – $16.40 | 4,674 | 1 |
| Bell Gardens, CA | $0.41 | $0.00 – $3.38 | 4,677 | 9 |
| Vian, OK | $69.65 | $69.65 – $69.65 | 4,677 | 1 |
| Briarwood, NY | $38.15 | $34.83 – $206.06 | 4,684 | 3 |
| Mount Laurel, NJ | $81.11 | $41.93 – $179.47 | 4,687 | 5 |
| Shelby Township, MI | $660.82 | $660.82 – $660.82 | 4,691 | 1 |
| Laveen, AZ | $174.81 | $36.47 – $618.10 | 4,725 | 6 |
| Fayetteville, GA | $17.22 | $17.22 – $17.22 | 4,744 | 1 |
| Corfu, NY | $23.17 | $23.17 – $23.17 | 4,754 | 1 |
| Pelican Lake, WI | $10.37 | $10.37 – $10.37 | 4,767 | 1 |
| Forest Lake, MN | $229.71 | $229.71 – $229.71 | 4,786 | 1 |
| Solon, OH | $102.65 | $0.00 – $196.35 | 4,792 | 12 |
| Mount Gilead, OH | $169.51 | $19.17 – $193.40 | 4,796 | 7 |
| Shaker Heights, OH | $98.62 | $35.51 – $391.73 | 4,800 | 9 |
| Airway Heights, WA | $74.84 | $46.12 – $199.35 | 4,800 | 4 |
| North Canton, OH | $104.32 | $17.89 – $193.13 | 4,802 | 6 |
| Ames, IA | $3.31 | $0.00 – $52.97 | 4,805 | 2 |
| Forrest City, AR | $106.23 | $74.40 – $108.39 | 4,805 | 5 |
| Atmore, AL | $83.86 | $83.86 – $83.86 | 4,820 | 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.