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 |
|---|---|---|---|---|
| Camp Verde, AZ | $62.35 | $62.35 – $62.35 | 6,002 | 1 |
| Harrington, ME | $78.82 | $59.16 – $91.58 | 6,003 | 3 |
| North Waterboro, ME | $74.89 | $74.89 – $74.89 | 6,008 | 1 |
| Sunrise, FL | $50.19 | $0.00 – $52.21 | 6,034 | 5 |
| Rock Valley, IA | $72.02 | $72.02 – $72.02 | 6,035 | 1 |
| Central Falls, RI | $18.63 | $18.63 – $18.63 | 6,035 | 1 |
| Columbia Falls, MT | $64.52 | $64.52 – $64.52 | 6,042 | 1 |
| Brooklyn, OH | $132.76 | $25.80 – $133.46 | 6,043 | 2 |
| Allegany, NY | $92.11 | $92.11 – $92.11 | 6,071 | 1 |
| Asheboro, NC | $102.82 | $0.50 – $255.52 | 6,072 | 8 |
| Malta, OH | $89.82 | $30.94 – $110.24 | 6,093 | 6 |
| Evanston, WY | $64.41 | $0.00 – $152.06 | 6,100 | 7 |
| Farmington Hills, MI | $57.54 | $0.00 – $80.24 | 6,112 | 5 |
| Marion, SC | $66.81 | $24.33 – $68.24 | 6,125 | 2 |
| Bucyrus, OH | $137.99 | $36.77 – $166.61 | 6,131 | 5 |
| Tinton Falls, NJ | $68.53 | $40.56 – $124.91 | 6,141 | 2 |
| Claremont, NH | $74.85 | $9.08 – $1,065 | 6,141 | 4 |
| Amherst, NH | $53.26 | $53.26 – $53.26 | 6,174 | 1 |
| Springfield, NJ | $55.53 | $0.00 – $109.81 | 6,184 | 3 |
| Cleveland, TX | $11.63 | $11.62 – $14.65 | 6,202 | 2 |
| Watertown, MA | $69.21 | $13.72 – $97.93 | 6,217 | 3 |
| Rocky River, OH | $112.55 | $0.00 – $184.03 | 6,229 | 10 |
| Checotah, OK | $68.65 | $56.79 – $71.36 | 6,235 | 6 |
| Wasco, CA | $191.65 | $44.19 – $218.26 | 6,241 | 2 |
| Berlin, VT | $1,077 | $0.00 – $1,079 | 6,248 | 2 |
| Bedford, OH | $87.56 | $0.02 – $125.45 | 6,261 | 4 |
| South Sioux City, NE | $52.76 | $0.48 – $112.68 | 6,272 | 14 |
| Thief River Falls, MN | $86.09 | $39.20 – $98.76 | 6,274 | 5 |
| Wailuku, HI | $30.31 | $5.54 – $188.89 | 6,300 | 2 |
| Saratoga Springs, NY | $103.43 | $63.07 – $144.82 | 6,309 | 3 |
| Onarga, IL | $63.31 | $53.22 – $63.50 | 6,312 | 3 |
| Raleigh, ND | $87.00 | $3.10 – $346.25 | 6,344 | 7 |
| Brookfield, OH | $46.80 | $32.84 – $70.54 | 6,349 | 4 |
| Los Gatos, CA | $12.61 | $0.00 – $465.37 | 6,350 | 5 |
| Atlantic, IA | $40.44 | $19.16 – $40.59 | 6,371 | 2 |
| Oneonta, NY | $48.83 | $0.27 – $101.13 | 6,379 | 3 |
| Goochland, VA | $305.57 | $305.57 – $305.57 | 6,391 | 1 |
| Arnold, MO | $0.11 | $0.00 – $14.58 | 6,402 | 6 |
| Dayville, CT | $393.44 | $0.00 – $461.71 | 6,404 | 2 |
| Dearborn, MI | $22.41 | $0.00 – $46.94 | 6,424 | 3 |
| Norwich, CT | $69.07 | $0.00 – $141.92 | 6,430 | 8 |
| Yankton, SD | $93.39 | $90.46 – $93.80 | 6,446 | 2 |
| Mannford, OK | $66.01 | $59.73 – $66.86 | 6,449 | 3 |
| Canoga Park, CA | $42.81 | $0.00 – $56.38 | 6,469 | 4 |
| Chanhassen, MN | $96.96 | $27.73 – $131.86 | 6,469 | 2 |
| Margaretville, NY | $136.83 | $136.83 – $136.83 | 6,479 | 1 |
| Lake Geneva, WI | $27.11 | $27.11 – $27.11 | 6,481 | 1 |
| Huntington Beach, CA | $143.63 | $0.00 – $155.48 | 6,497 | 5 |
| Cordele, GA | $0.00 | $0.00 – $0.00 | 6,502 | 5 |
| Berryville, AR | $72.35 | $72.35 – $72.35 | 6,503 | 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.