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 |
|---|---|---|---|---|
| Eagle Point, OR | $58.00 | $0.00 – $66.38 | 8,359 | 4 |
| Midvale, UT | $155.37 | $45.40 – $316.29 | 8,362 | 6 |
| Kahuku, HI | $0.00 | $0.00 – $0.00 | 8,385 | 2 |
| Raton, NM | $128.28 | $14.80 – $148.34 | 8,402 | 4 |
| Seaside, CA | $144.84 | $23.53 – $154.96 | 8,406 | 4 |
| Williamsville, NY | $134.62 | $17.39 – $135.19 | 8,410 | 2 |
| Round Lake Park, IL | $93.46 | $93.46 – $93.46 | 8,418 | 1 |
| Monterey, CA | $150.37 | $28.78 – $156.01 | 8,446 | 2 |
| Charleston, SC | $49.05 | $0.00 – $275.88 | 8,465 | 11 |
| North Aurora, IL | $102.38 | $95.61 – $102.41 | 8,485 | 2 |
| Waianae, HI | $27.08 | $0.00 – $77.36 | 8,500 | 5 |
| Hobart, IN | $118.09 | $118.09 – $118.09 | 8,509 | 1 |
| Dayton, VA | $7.02 | $7.02 – $7.02 | 8,509 | 1 |
| Mcdermott, OH | $67.01 | $25.51 – $155.99 | 8,537 | 5 |
| Bellefontaine, OH | $166.40 | $29.07 – $170.64 | 8,543 | 4 |
| Benton, AR | $78.01 | $19.48 – $107.32 | 8,559 | 20 |
| Osceola, AR | $98.69 | $97.52 – $102.55 | 8,562 | 2 |
| Russellville, AR | $71.62 | $0.00 – $96.64 | 8,578 | 13 |
| Cannon Falls, MN | $1,013 | $1,013 – $1,013 | 8,591 | 1 |
| Naperville, IL | $75.41 | $73.22 – $84.77 | 8,603 | 3 |
| Middleton, ID | $139.09 | $3.14 – $169.19 | 8,605 | 3 |
| Morgan Hill, CA | $204.29 | $204.29 – $204.29 | 8,633 | 1 |
| Panama City, FL | $32.88 | $1.03 – $88.64 | 8,649 | 9 |
| Langston, OK | $64.77 | $64.77 – $64.77 | 8,664 | 1 |
| Thunderbolt, GA | $56.22 | $56.22 – $56.22 | 8,664 | 1 |
| Cleveland, OK | $31.64 | $0.00 – $63.93 | 8,665 | 21 |
| Des Plaines, IL | $79.93 | $41.72 – $140.58 | 8,669 | 3 |
| Rancho Palos Verdes, CA | $0.01 | $0.00 – $0.01 | 8,704 | 3 |
| Vandalia, IL | $75.43 | $50.18 – $77.11 | 8,707 | 2 |
| Stamford, NY | $90.56 | $90.56 – $90.56 | 8,731 | 1 |
| Lisbon, ME | $106.39 | $69.35 – $127.57 | 8,756 | 3 |
| East Chicago, IN | $282.48 | $51.12 – $284.21 | 8,759 | 2 |
| Mount Washington, KY | $105.59 | $105.59 – $105.59 | 8,816 | 1 |
| Lynn, MA | $83.27 | $1.97 – $139.42 | 8,857 | 9 |
| Wellsville, NY | $108.89 | $45.57 – $125.06 | 8,857 | 3 |
| Oak Hill, WV | $81.97 | $81.97 – $81.97 | 8,871 | 1 |
| Brewster, NY | $147.20 | $129.60 – $148.38 | 8,877 | 2 |
| Mariposa, CA | $84.23 | $84.23 – $84.23 | 8,880 | 1 |
| W Portsmouth, OH | $8.94 | $8.94 – $8.94 | 8,891 | 1 |
| Grant, MI | $3.85 | $3.84 – $4.55 | 8,928 | 2 |
| Pace, FL | $62.58 | $59.28 – $136.99 | 8,975 | 3 |
| Mahtomedi, MN | $826.65 | $826.65 – $826.65 | 8,997 | 1 |
| Little Ferry, NJ | $69.90 | $69.90 – $69.90 | 8,999 | 1 |
| Palm Springs, FL | $36.33 | $5.61 – $46.24 | 9,012 | 5 |
| Cocoa, FL | $71.56 | $21.25 – $90.03 | 9,029 | 5 |
| Mauston, WI | $36.93 | $20.68 – $61.53 | 9,031 | 5 |
| Midlothian, VA | $22.40 | $15.91 – $46.39 | 9,038 | 5 |
| Woodbridge, VA | $32.39 | $0.00 – $367.31 | 9,040 | 12 |
| Attalla, AL | $75.46 | $75.46 – $75.46 | 9,069 | 1 |
| Lincoln, RI | $84.32 | $0.55 – $95.93 | 9,084 | 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.