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 |
|---|---|---|---|---|
| Hoffman Estates, IL | $103.52 | $45.57 – $109.07 | 13,965 | 2 |
| Hampden, ME | $67.85 | $0.00 – $79.72 | 14,041 | 7 |
| Burien, WA | $0.19 | $0.00 – $1.24 | 14,059 | 30 |
| La Quinta, CA | $70.08 | $0.00 – $289.48 | 14,074 | 7 |
| Henrico, VA | $175.66 | $0.54 – $195.21 | 14,100 | 7 |
| Owatonna, MN | $161.67 | $68.35 – $227.72 | 14,140 | 3 |
| Texarkana, AR | $43.82 | $31.46 – $69.24 | 14,157 | 3 |
| Greenbelt, MD | $141.45 | $63.22 – $159.53 | 14,166 | 6 |
| Salem, MA | $28.73 | $0.00 – $29.83 | 14,168 | 2 |
| Breckinridge Hills, MO | $68.22 | $68.22 – $68.22 | 14,172 | 1 |
| East Hartford, CT | $248.49 | $0.00 – $429.60 | 14,215 | 8 |
| Hutchinson, MN | $145.83 | $59.50 – $764.73 | 14,237 | 6 |
| White Cloud, MI | $186.05 | $4.17 – $282.74 | 14,287 | 2 |
| Eaton, OH | $78.32 | $20.99 – $131.34 | 14,323 | 16 |
| Ny, NY | $55.57 | $55.57 – $55.57 | 14,391 | 1 |
| Caddo, OK | $42.82 | $42.82 – $42.82 | 14,484 | 1 |
| Washington Court House, OH | $89.87 | $0.00 – $192.00 | 14,538 | 19 |
| Washington, NJ | $47.17 | $45.85 – $109.48 | 14,543 | 3 |
| Ivel, KY | $37.08 | $36.08 – $37.08 | 14,586 | 2 |
| Haverhill, MA | $61.53 | $20.10 – $138.24 | 14,596 | 10 |
| Centreville, MI | $49.94 | $49.94 – $49.94 | 14,608 | 1 |
| Eatontown, NJ | $110.82 | $110.77 – $114.92 | 14,619 | 2 |
| Libertyville, IL | $90.75 | $90.75 – $90.75 | 14,636 | 1 |
| Placerville, CA | $83.57 | $0.00 – $115.39 | 14,663 | 5 |
| Lexington, VA | $331.46 | $199.55 – $331.93 | 14,665 | 2 |
| New London, MO | $48.49 | $0.00 – $49.00 | 14,736 | 2 |
| Pine Brook, NJ | $109.99 | $109.99 – $109.99 | 14,773 | 1 |
| Bristol, VA | $43.61 | $8.66 – $217.77 | 14,826 | 9 |
| Conway, NH | $87.34 | $57.86 – $121.30 | 14,846 | 5 |
| Norcross, GA | $16.71 | $6.65 – $16.95 | 14,896 | 2 |
| Parsons, TN | $76.98 | $76.98 – $76.98 | 14,939 | 1 |
| Urbana, IL | $65.75 | $46.56 – $76.53 | 14,980 | 4 |
| Glens Falls, NY | $39.14 | $0.00 – $50.28 | 15,001 | 8 |
| Livingston, MT | $82.45 | $82.45 – $82.45 | 15,019 | 1 |
| Alma, MI | $104.21 | $104.21 – $104.21 | 15,044 | 1 |
| Mt. Orab, OH | $99.16 | $0.00 – $106.91 | 15,079 | 2 |
| Calera, AL | $46.98 | $46.98 – $46.98 | 15,088 | 1 |
| Brandon, MS | $29.50 | $28.33 – $29.60 | 15,097 | 2 |
| Oak Park Heights, MN | $109.22 | $108.36 – $111.09 | 15,106 | 2 |
| Moses Lake, WA | $3.50 | $0.00 – $37.40 | 15,132 | 29 |
| Fallon, NV | $2.08 | $0.00 – $59.89 | 15,134 | 6 |
| Maitland, FL | $50.90 | $50.87 – $68.06 | 15,170 | 2 |
| Bristol, TN | $19.54 | $19.14 – $47.41 | 15,192 | 2 |
| Ozone Park, NY | $9.34 | $0.00 – $40.91 | 15,217 | 15 |
| Le Mars, IA | $0.01 | $0.01 – $0.01 | 15,221 | 1 |
| Belvidere, IL | $90.62 | $68.76 – $90.75 | 15,223 | 2 |
| Oxford, ME | $73.21 | $58.03 – $87.55 | 15,239 | 9 |
| New Iberia, LA | $64.15 | $24.07 – $71.10 | 15,253 | 3 |
| Madison, AL | $96.32 | $0.00 – $99.77 | 15,258 | 3 |
| St Johnsbury, VT | $42.75 | $0.00 – $105.71 | 15,289 | 9 |
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.