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 |
|---|---|---|---|---|
| Van Buren, ME | $165.72 | $165.72 – $165.72 | 12,968 | 1 |
| Alabaster, AL | $426.86 | $426.86 – $426.86 | 12,970 | 1 |
| Yreka, CA | $74.04 | $74.04 – $74.04 | 12,978 | 1 |
| Freeport, NY | $32.85 | $0.48 – $146.46 | 12,981 | 3 |
| Kennebunk, ME | $73.35 | $39.75 – $109.84 | 12,986 | 15 |
| Menomonie, WI | $40.53 | $6.98 – $65.42 | 13,018 | 12 |
| Westlake, OH | $185.95 | $28.90 – $208.10 | 13,027 | 6 |
| Rhinelander, WI | $28.55 | $7.64 – $55.70 | 13,027 | 9 |
| West Memphis, AR | $96.04 | $53.94 – $109.20 | 13,036 | 7 |
| Fort Sam Houston, TX | $73.32 | $43.43 – $83.65 | 13,065 | 3 |
| Monticello, MN | $82.63 | $82.63 – $82.63 | 13,093 | 1 |
| Kenton, OH | $95.30 | $17.50 – $321.89 | 13,100 | 12 |
| Edmonds, WA | $17.25 | $0.00 – $164.47 | 13,117 | 16 |
| Baldwin, MI | $3.64 | $3.55 – $5.70 | 13,144 | 2 |
| Spring Valley, NY | $134.06 | $134.06 – $134.06 | 13,150 | 1 |
| Nyc, NY | $25.52 | $25.52 – $25.52 | 13,150 | 1 |
| Westport, CT | $397.65 | $397.65 – $397.65 | 13,191 | 1 |
| Smithtown, NY | $38.89 | $31.03 – $57.70 | 13,223 | 3 |
| Irvine, CA | $62.56 | $0.00 – $247.55 | 13,233 | 15 |
| Wayland, KY | $389.00 | $389.00 – $389.00 | 13,276 | 1 |
| Oxford, NC | $147.32 | $143.22 – $263.48 | 13,288 | 2 |
| Charlotte, MI | $124.40 | $8.28 – $129.60 | 13,349 | 4 |
| Hiawatha, KS | $25.80 | $0.00 – $25.93 | 13,372 | 2 |
| New Boston, OH | $130.68 | $48.07 – $193.09 | 13,417 | 9 |
| Laconia, NH | $116.40 | $0.00 – $296.18 | 13,423 | 12 |
| Shedd, OR | $34.45 | $34.45 – $34.45 | 13,433 | 1 |
| Tyrone, PA | $8.80 | $8.80 – $8.80 | 13,452 | 1 |
| Fitchburg, WI | $12.94 | $7.21 – $80.40 | 13,466 | 10 |
| Lake Oswego, OR | $57.52 | $0.00 – $178.52 | 13,477 | 26 |
| Carthage, IL | $66.92 | $66.92 – $66.92 | 13,485 | 1 |
| Alvordton, OH | $186.40 | $31.10 – $203.00 | 13,515 | 3 |
| Keene, NH | $227.04 | $6.98 – $286.59 | 13,518 | 10 |
| Little Falls, MN | $80.50 | $71.94 – $162.73 | 13,537 | 4 |
| Garden Grove, CA | $80.14 | $0.00 – $207.17 | 13,544 | 13 |
| Holland, MI | $126.90 | $109.14 – $194.94 | 13,552 | 3 |
| Rio Grande, NJ | $111.57 | $111.57 – $111.57 | 13,569 | 1 |
| Bath, NY | $37.38 | $1.00 – $83.05 | 13,592 | 9 |
| Lac Du Flambeau, WI | $18.01 | $9.46 – $54.65 | 13,652 | 8 |
| Mount Airy, NC | $95.91 | $22.22 – $126.35 | 13,686 | 3 |
| Rathdrum, ID | $101.15 | $0.00 – $101.67 | 13,702 | 3 |
| Greenwood, SC | $77.95 | $18.97 – $101.32 | 13,754 | 8 |
| Rigby, ID | $100.53 | $100.53 – $100.53 | 13,768 | 1 |
| Bladenboro, NC | $155.33 | $155.33 – $155.33 | 13,803 | 1 |
| Caledonia, WI | $8.81 | $8.81 – $8.81 | 13,820 | 1 |
| Brown Deer, WI | $57.93 | $10.80 – $92.84 | 13,844 | 13 |
| Poplar Bluff, MO | $96.20 | $0.00 – $96.32 | 13,865 | 2 |
| Blue Island, IL | $44.81 | $44.24 – $136.37 | 13,915 | 2 |
| Sentinel Butte, ND | $43.72 | $28.91 – $79.56 | 13,927 | 10 |
| Granite Falls, MN | $1,972 | $1,972 – $1,972 | 13,948 | 1 |
| Ione, CA | $38.15 | $38.15 – $38.15 | 13,952 | 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.