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 |
|---|---|---|---|---|
| Council Bluffs, IA | $78.03 | $0.00 – $125.70 | 6,512 | 3 |
| Seymour, IN | $236.77 | $19.33 – $238.22 | 6,515 | 2 |
| Sika, AK | $800.47 | $800.47 – $800.47 | 6,525 | 1 |
| Salem, IL | $73.39 | $0.00 – $79.30 | 6,554 | 3 |
| Altadena, CA | $119.12 | $85.23 – $119.92 | 6,554 | 2 |
| Clinton, SC | $68.12 | $59.82 – $99.72 | 6,559 | 2 |
| Junction City, KS | $77.17 | $77.17 – $77.17 | 6,566 | 1 |
| Indpls, IN | $66.29 | $66.29 – $66.29 | 6,575 | 1 |
| Essex Junction, VT | $183.02 | $183.02 – $183.02 | 6,582 | 1 |
| Lake View Terrace, CA | $102.02 | $102.02 – $102.02 | 6,587 | 1 |
| Mineral Wells, TX | $9.58 | $9.58 – $9.58 | 6,589 | 1 |
| Wintersville, OH | $125.76 | $20.03 – $141.17 | 6,604 | 6 |
| Greenville, IL | $85.09 | $57.70 – $101.08 | 6,616 | 4 |
| Mount Carmel, IL | $74.15 | $49.68 – $444.45 | 6,619 | 3 |
| Hardinsburg, KY | $51.02 | $45.97 – $81.87 | 6,630 | 2 |
| Custer City, OK | $62.82 | $62.82 – $62.82 | 6,648 | 1 |
| North Adams, MA | $46.87 | $40.00 – $56.39 | 6,692 | 9 |
| Bethel, AK | $363.55 | $68.19 – $741.18 | 6,721 | 9 |
| Warm Springs, OR | $486.43 | $486.43 – $486.43 | 6,749 | 1 |
| Elsmere, KY | $80.25 | $13.84 – $116.53 | 6,773 | 5 |
| Richlands, VA | $16.10 | $10.79 – $136.18 | 6,789 | 6 |
| Taft, CA | $171.39 | $171.39 – $171.39 | 6,790 | 1 |
| North Kingstown, RI | $45.62 | $10.65 – $178.36 | 6,813 | 6 |
| Lavalette, WV | $135.20 | $135.20 – $135.20 | 6,818 | 1 |
| Woodstock, IL | $104.96 | $42.76 – $108.35 | 6,872 | 3 |
| Newport, VT | $172.72 | $0.00 – $809.59 | 6,893 | 4 |
| Ft Lauderdale, FL | $31.84 | $13.67 – $37.57 | 6,895 | 6 |
| Inwood, WV | $107.93 | $107.93 – $107.93 | 6,897 | 1 |
| Hyattsville, MD | $122.23 | $0.00 – $184.22 | 6,918 | 12 |
| Menands, NY | $29.80 | $29.80 – $29.80 | 6,921 | 1 |
| Sandy, UT | $61.95 | $50.06 – $155.67 | 6,925 | 5 |
| Shaker Hts, OH | $104.24 | $50.66 – $174.86 | 6,941 | 13 |
| Cokato, MN | $104.71 | $100.23 – $106.03 | 6,942 | 2 |
| Olalla, WA | $89.06 | $0.00 – $181.67 | 6,943 | 4 |
| Woburn, MA | $122.90 | $3.13 – $143.17 | 6,954 | 4 |
| Sturgis, SD | $92.89 | $76.35 – $97.20 | 6,967 | 2 |
| Rogers, OH | $184.45 | $27.74 – $189.46 | 6,973 | 3 |
| Newtown Square, PA | $0.00 | $0.00 – $0.00 | 7,003 | 1 |
| Hattiesburg, MS | $22.46 | $22.46 – $22.46 | 7,020 | 1 |
| Rancho Cucamonga, CA | $3.13 | $0.00 – $112.92 | 7,048 | 14 |
| Chicago Heights, IL | $96.43 | $89.23 – $112.00 | 7,058 | 2 |
| Anthem, AZ | $320.61 | $72.87 – $1,097 | 7,094 | 2 |
| Hollywood, CA | $110.47 | $110.47 – $110.47 | 7,098 | 1 |
| Bristow, OK | $57.40 | $16.06 – $71.76 | 7,115 | 5 |
| Countryside, IL | $110.87 | $110.87 – $110.87 | 7,124 | 1 |
| Hudson, NY | $76.39 | $50.17 – $81.85 | 7,137 | 2 |
| Vidalia, LA | $68.52 | $64.27 – $68.75 | 7,138 | 2 |
| Monroe, NY | $58.70 | $58.70 – $58.70 | 7,145 | 1 |
| Hamburg, NY | $59.38 | $59.38 – $59.38 | 7,155 | 1 |
| Gerogetown, OH | $191.37 | $191.37 – $191.37 | 7,165 | 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.