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 |
|---|---|---|---|---|
| Daytona Beach, FL | $55.02 | $1.36 – $62.23 | 15,289 | 9 |
| Brigham City, UT | $47.88 | $47.87 – $59.56 | 15,315 | 2 |
| Frederick, OK | $60.64 | $0.00 – $67.25 | 15,342 | 7 |
| Baraboo, WI | $12.84 | $0.00 – $242.11 | 15,365 | 6 |
| Tarpon Springs, FL | $63.27 | $63.27 – $63.27 | 15,369 | 1 |
| Waterloo, IL | $80.24 | $80.24 – $80.24 | 15,371 | 1 |
| Montgomery, MN | $77.32 | $72.02 – $89.16 | 15,429 | 2 |
| Perham, MN | $151.67 | $151.49 – $151.69 | 15,443 | 2 |
| Castle Rock, CO | $3.50 | $0.00 – $65.45 | 15,466 | 6 |
| Brazil, IN | $98.36 | $36.19 – $99.34 | 15,502 | 2 |
| Palmetto, FL | $62.64 | $62.64 – $62.64 | 15,524 | 1 |
| Fort Morgan, CO | $167.35 | $6.98 – $186.46 | 15,553 | 5 |
| Rome, GA | $55.37 | $55.37 – $55.37 | 15,592 | 1 |
| Fort Washington, MD | $144.18 | $1.46 – $146.20 | 15,605 | 4 |
| Portsmouth, NH | $69.59 | $12.33 – $120.31 | 15,680 | 14 |
| Batesville, AR | $78.17 | $67.66 – $82.56 | 15,735 | 5 |
| Niles, OH | $95.06 | $21.26 – $197.84 | 15,749 | 22 |
| Clayton, NJ | $112.32 | $112.32 – $112.32 | 15,751 | 1 |
| Lincolnton, NC | $95.22 | $0.00 – $136.74 | 15,771 | 4 |
| Florence, AZ | $71.13 | $36.51 – $72.13 | 15,793 | 3 |
| Rochester, NH | $137.10 | $123.96 – $230.15 | 15,808 | 3 |
| Troy, MI | $173.89 | $0.14 – $198.22 | 15,813 | 2 |
| Chataignier, LA | $96.40 | $96.40 – $96.40 | 15,838 | 1 |
| Brooklyn Center, MN | $340.22 | $58.47 – $1,814 | 15,877 | 4 |
| East Peoria, IL | $86.04 | $57.90 – $91.83 | 15,891 | 2 |
| Clovis, NM | $145.03 | $0.00 – $176.39 | 15,915 | 5 |
| Commerce City, CO | $35.47 | $0.00 – $158.67 | 15,958 | 15 |
| Lone Grove, OK | $67.22 | $59.64 – $72.10 | 16,021 | 3 |
| Sumner, WA | $64.88 | $20.12 – $361.31 | 16,028 | 4 |
| Lawrence, KS | $45.77 | $0.00 – $124.51 | 16,039 | 6 |
| Fort Kent, ME | $75.29 | $58.54 – $99.90 | 16,049 | 8 |
| Greenville, OH | $57.63 | $32.23 – $73.13 | 16,062 | 11 |
| Burlington, WA | $48.66 | $0.00 – $204.99 | 16,090 | 29 |
| Newton, IL | $84.00 | $53.31 – $110.05 | 16,134 | 3 |
| Cantonment, FL | $61.56 | $61.56 – $61.56 | 16,144 | 1 |
| University Place, WA | $53.36 | $0.00 – $144.87 | 16,148 | 49 |
| Johnstown, PA | $233.64 | $130.40 – $233.86 | 16,178 | 2 |
| Sugarcreek Township, OH | $85.52 | $56.34 – $149.88 | 16,201 | 4 |
| Kimball, TN | $98.43 | $98.43 – $98.43 | 16,203 | 1 |
| New Ulm, MN | $70.40 | $0.00 – $104.37 | 16,210 | 5 |
| Carlinville, IL | $100.52 | $100.52 – $100.52 | 16,223 | 1 |
| Sedalia, MO | $13.82 | $13.82 – $13.82 | 16,246 | 1 |
| Shallotte, NC | $90.32 | $44.75 – $113.39 | 16,259 | 3 |
| Manchester, TN | $94.34 | $94.34 – $94.34 | 16,293 | 1 |
| Wakefield, RI | $126.29 | $17.43 – $197.87 | 16,315 | 3 |
| Baker, LA | $68.96 | $0.00 – $97.70 | 16,345 | 3 |
| Albemarle, NC | $140.62 | $17.33 – $154.97 | 16,355 | 4 |
| The Plains, OH | $138.50 | $46.33 – $175.82 | 16,371 | 5 |
| Kasson, MN | $80.73 | $80.73 – $80.73 | 16,424 | 1 |
| Palos Heights, IL | $61.66 | $1.15 – $64.76 | 16,460 | 2 |
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.