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 |
|---|---|---|---|---|
| Conway, AR | $87.95 | $24.08 – $95.06 | 10,571 | 10 |
| Stony Brook, NY | $56.38 | $6.96 – $101.77 | 10,578 | 3 |
| New Britain, CT | $95.71 | $0.00 – $157.84 | 10,581 | 18 |
| Anderson, CA | $35.29 | $24.00 – $35.43 | 10,599 | 2 |
| Porter, OK | $71.53 | $71.53 – $71.53 | 10,610 | 1 |
| Yorkville, IL | $79.81 | $61.39 – $82.09 | 10,613 | 2 |
| Smyrna, DE | $0.00 | $0.00 – $0.00 | 10,628 | 1 |
| Corinth, MS | $23.45 | $23.45 – $23.45 | 10,633 | 1 |
| Garden City, KS | $29.59 | $0.08 – $48.13 | 10,641 | 2 |
| Kingsford, MI | $125.23 | $125.23 – $125.23 | 10,652 | 1 |
| Kenova, WV | $115.55 | $115.28 – $121.41 | 10,660 | 2 |
| Springboro, OH | $145.86 | $41.80 – $153.18 | 10,671 | 6 |
| Ottumwa, IA | $6.14 | $0.00 – $56.05 | 10,767 | 3 |
| Bountiful, UT | $2.62 | $2.62 – $2.62 | 10,776 | 1 |
| Schofield, WI | $16.68 | $11.58 – $43.58 | 10,784 | 4 |
| Rancho Mirage, CA | $114.64 | $0.00 – $121.55 | 10,795 | 5 |
| Summerville, SC | $70.88 | $19.99 – $77.35 | 10,798 | 11 |
| Napoleon, OH | $137.96 | $21.17 – $168.23 | 10,818 | 14 |
| Kennett Square, PA | $367.22 | $367.22 – $367.22 | 10,831 | 1 |
| Murphy, NC | $98.56 | $15.39 – $114.40 | 10,842 | 3 |
| Bethany, OK | $62.49 | $24.72 – $68.63 | 10,881 | 8 |
| Braintree, MA | $81.30 | $33.11 – $810.41 | 10,911 | 7 |
| Northfield, MN | $100.01 | $22.51 – $519.66 | 10,915 | 4 |
| Taft, TX | $145.32 | $145.32 – $145.32 | 10,924 | 1 |
| Gahanna, OH | $91.15 | $0.00 – $177.38 | 10,925 | 9 |
| Astoria, OR | $59.34 | $0.00 – $170.12 | 10,948 | 23 |
| Caro, MI | $87.81 | $76.41 – $114.11 | 10,951 | 2 |
| Valdosta, GA | $52.52 | $20.53 – $57.89 | 10,970 | 4 |
| Hermiston, OR | $34.02 | $2.85 – $235.84 | 10,980 | 9 |
| Harahan, LA | $25.30 | $25.30 – $25.30 | 10,998 | 1 |
| Fort Knox, KY | $111.37 | $111.37 – $111.37 | 10,999 | 1 |
| Apple Valley, MN | $109.85 | $109.85 – $109.85 | 11,009 | 1 |
| Preston, ID | $132.13 | $80.52 – $134.75 | 11,016 | 2 |
| Perth Amboy, NJ | $112.87 | $0.13 – $164.10 | 11,039 | 6 |
| Happy Valley, OR | $65.72 | $0.00 – $99.96 | 11,062 | 11 |
| Nowata, OK | $66.78 | $0.00 – $327.08 | 11,086 | 10 |
| Cadillac, MI | $9.20 | $8.87 – $101.20 | 11,096 | 2 |
| Upper Marlboro, MD | $179.10 | $0.00 – $291.73 | 11,112 | 9 |
| Mount Hope, WV | $114.95 | $114.95 – $114.95 | 11,112 | 1 |
| Meridian, MS | $32.49 | $32.49 – $32.49 | 11,130 | 1 |
| Colbert, OK | $70.96 | $70.96 – $70.96 | 11,167 | 1 |
| East Machias, ME | $85.69 | $54.44 – $120.88 | 11,173 | 4 |
| Seminole, OK | $52.64 | $0.00 – $65.32 | 11,193 | 10 |
| Piscataway, NJ | $0.00 | $0.00 – $0.00 | 11,209 | 1 |
| Frazeysburg, OH | $129.96 | $39.08 – $168.92 | 11,217 | 4 |
| Denison, TX | $69.94 | $57.37 – $70.18 | 11,221 | 2 |
| Sterling Heights, MI | $7.66 | $0.00 – $17.07 | 11,245 | 4 |
| Chino Valley, AZ | $98.74 | $98.74 – $98.74 | 11,257 | 1 |
| Ceredo, WV | $0.00 | $0.00 – $0.00 | 11,272 | 2 |
| Waconia, MN | $119.13 | $102.67 – $135.53 | 11,283 | 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.