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 |
|---|---|---|---|---|
| Auburn, CA | $89.13 | $0.00 – $191.53 | 11,286 | 5 |
| Palmer, AK | $82.23 | $0.00 – $902.13 | 11,307 | 14 |
| Kewanee, IL | $79.68 | $61.07 – $80.43 | 11,341 | 3 |
| Payette, ID | $75.51 | $58.65 – $205.67 | 11,347 | 3 |
| Lebanon, OR | $72.53 | $1.04 – $78.63 | 11,384 | 8 |
| Okc, OK | $69.92 | $0.00 – $70.91 | 11,386 | 6 |
| Mounds, OK | $64.49 | $56.07 – $64.96 | 11,415 | 2 |
| Lanham, MD | $106.27 | $25.03 – $164.02 | 11,434 | 14 |
| Thomas, OK | $58.96 | $12.68 – $71.30 | 11,440 | 8 |
| Rome, NY | $59.64 | $1.07 – $62.59 | 11,448 | 8 |
| Alexandria, MN | $335.62 | $64.71 – $1,231 | 11,459 | 7 |
| Winona, MN | $298.17 | $26.25 – $774.50 | 11,482 | 7 |
| Imperial Beach, CA | $111.84 | $0.00 – $123.99 | 11,487 | 11 |
| Santa Clara, CA | $200.28 | $0.00 – $243.14 | 11,529 | 5 |
| West Carrollton, OH | $127.69 | $36.87 – $280.59 | 11,544 | 10 |
| Carlsbad, NM | $79.31 | $15.86 – $232.41 | 11,594 | 9 |
| Aberdeen, SD | $63.54 | $54.56 – $64.36 | 11,641 | 2 |
| Murfreesboro, TN | $126.69 | $0.00 – $278.68 | 11,652 | 7 |
| Pickens, SC | $81.03 | $81.03 – $81.03 | 11,656 | 1 |
| Connersville, IN | $507.56 | $131.44 – $520.14 | 11,674 | 2 |
| Saint Anthony, ID | $199.24 | $62.26 – $204.50 | 11,682 | 2 |
| Middlebury, VT | $639.84 | $0.00 – $646.74 | 11,696 | 4 |
| Ketchikan, AK | $198.94 | $0.00 – $799.40 | 11,698 | 7 |
| Monroe, OH | $175.44 | $35.65 – $176.47 | 11,710 | 2 |
| Otsego, MN | $118.78 | $110.78 – $120.55 | 11,716 | 2 |
| Clarkston, WA | $0.54 | $0.00 – $4.09 | 11,740 | 18 |
| Ashland, VA | $314.88 | $230.56 – $319.19 | 11,740 | 3 |
| Newton, MA | $12.92 | $12.92 – $12.92 | 11,763 | 1 |
| Mt Pleasant, MI | $252.10 | $35.02 – $268.89 | 11,768 | 3 |
| Pine Bluff, AR | $61.93 | $0.00 – $67.03 | 11,768 | 3 |
| Jackson, CA | $17.85 | $17.85 – $17.85 | 11,776 | 1 |
| Pasco, WA | $38.15 | $0.00 – $527.08 | 11,778 | 28 |
| Mitchell, SD | $63.32 | $63.32 – $63.32 | 11,825 | 1 |
| Woodward, OK | $61.75 | $0.00 – $70.78 | 11,828 | 21 |
| Bainbridge, OH | $58.93 | $0.00 – $140.51 | 11,845 | 17 |
| Lyons, NY | $55.60 | $55.18 – $64.61 | 11,863 | 2 |
| Orland, CA | $77.52 | $77.42 – $98.01 | 11,878 | 2 |
| Bell, CA | $82.06 | $0.00 – $116.32 | 11,878 | 3 |
| Howell, NJ | $66.57 | $64.23 – $110.35 | 11,909 | 2 |
| Stockbridge, GA | $79.44 | $79.44 – $79.44 | 11,919 | 1 |
| Monroeville, AL | $64.82 | $3.81 – $64.92 | 11,924 | 2 |
| Monett, MO | $0.14 | $0.00 – $64.67 | 11,932 | 2 |
| Newcastle, OK | $69.10 | $60.30 – $71.37 | 11,933 | 7 |
| Long Island City, NY | $47.16 | $0.00 – $107.40 | 11,957 | 6 |
| Whittier, CA | $88.11 | $0.00 – $202.75 | 11,984 | 10 |
| East Palo Alto, CA | $76.56 | $3.44 – $137.31 | 11,984 | 11 |
| Piedmont, OK | $65.40 | $0.00 – $67.11 | 11,984 | 4 |
| Berea, OH | $108.39 | $3.26 – $151.18 | 11,986 | 12 |
| Graham, NC | $129.36 | $129.36 – $129.36 | 12,009 | 1 |
| Siloam Springs, AR | $65.82 | $0.00 – $67.69 | 12,010 | 4 |
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.