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 |
|---|---|---|---|---|
| Funkstown, MD | $286.63 | $286.63 – $286.63 | 19,948 | 1 |
| Celestine, IN | $126.24 | $126.24 – $126.24 | 19,971 | 1 |
| Danvers, MA | $406.43 | $31.56 – $896.84 | 20,029 | 4 |
| Spring Lake Park, MN | $55.42 | $13.42 – $88.86 | 20,033 | 2 |
| Evansville, WI | $10.91 | $10.91 – $10.91 | 20,067 | 1 |
| Westminster, CA | $74.93 | $0.75 – $81.50 | 20,082 | 9 |
| Montgomery Village, MD | $68.56 | $0.00 – $68.82 | 20,210 | 3 |
| Farmington, ME | $87.78 | $47.75 – $135.81 | 20,214 | 20 |
| Buffalo, MN | $256.79 | $110.59 – $1,140 | 20,226 | 4 |
| Coachella, CA | $81.18 | $0.00 – $174.55 | 20,226 | 6 |
| Maple Grove, MN | $135.43 | $85.55 – $438.49 | 20,239 | 6 |
| Saint Johns, AZ | $65.05 | $58.33 – $110.05 | 20,279 | 2 |
| Monaca, PA | $93.90 | $93.90 – $93.90 | 20,292 | 1 |
| Niagara Falls, NY | $251.24 | $0.00 – $549.84 | 20,313 | 4 |
| Mount Pleasant, UT | $38.85 | $38.85 – $38.85 | 20,328 | 1 |
| Blanchard, OK | $66.87 | $25.03 – $72.09 | 20,334 | 4 |
| Sullivan, IL | $87.84 | $0.00 – $92.99 | 20,380 | 2 |
| Washington, NC | $159.11 | $57.71 – $159.85 | 20,384 | 3 |
| Auburn Hills, MI | $145.14 | $121.07 – $613.79 | 20,427 | 2 |
| Sidney, OH | $162.63 | $29.86 – $207.74 | 20,466 | 8 |
| Bladensburg, MD | $186.34 | $44.26 – $333.84 | 20,510 | 3 |
| Eagan, MN | $85.88 | $13.77 – $94.54 | 20,533 | 6 |
| Morris, IL | $80.18 | $80.18 – $80.18 | 20,553 | 1 |
| Saint Clairsville, OH | $87.35 | $0.00 – $169.17 | 20,622 | 27 |
| Hibbing, MN | $86.72 | $84.27 – $95.23 | 20,634 | 3 |
| Menasha, WI | $12.27 | $0.14 – $27.42 | 20,683 | 15 |
| Pedro, OH | $189.16 | $31.48 – $195.53 | 20,811 | 6 |
| Trotwood, OH | $109.55 | $18.91 – $233.74 | 20,849 | 14 |
| Tinley Park, IL | $98.02 | $96.91 – $176.61 | 20,931 | 2 |
| Highland, NY | $50.59 | $50.59 – $50.59 | 20,938 | 1 |
| Beardstown, IL | $80.86 | $56.79 – $82.50 | 20,951 | 2 |
| Clinton Township, MI | $141.64 | $104.70 – $175.06 | 20,960 | 2 |
| Culver City, CA | $130.89 | $0.00 – $225.59 | 20,963 | 5 |
| Holmdel, NJ | $109.25 | $109.25 – $109.25 | 21,024 | 1 |
| Marshall, MN | $256.36 | $173.80 – $297.89 | 21,030 | 5 |
| Fort Myers, FL | $7.37 | $0.00 – $225.00 | 21,037 | 14 |
| Miamisburg, OH | $66.27 | $26.15 – $238.77 | 21,078 | 4 |
| Somerdale, NJ | $66.61 | $4.23 – $69.56 | 21,183 | 3 |
| Havre De Grace, MD | $80.78 | $69.85 – $80.82 | 21,191 | 2 |
| Rhinebeck, NY | $118.38 | $118.38 – $118.38 | 21,196 | 1 |
| South Gate, CA | $87.30 | $0.00 – $132.23 | 21,226 | 6 |
| Erlanger, KY | $56.16 | $49.96 – $100.59 | 21,250 | 3 |
| Macomb, IL | $102.60 | $101.19 – $131.64 | 21,354 | 2 |
| Greenfield, IN | $225.25 | $0.00 – $396.24 | 21,404 | 7 |
| Henryetta, OK | $60.00 | $46.25 – $72.20 | 21,420 | 3 |
| Madisonville, KY | $99.19 | $18.16 – $153.13 | 21,467 | 11 |
| Dallas, TX | $103.56 | $0.00 – $303.35 | 21,468 | 26 |
| North Hills, CA | $125.26 | $85.33 – $125.90 | 21,481 | 2 |
| Peru, IN | $85.45 | $85.45 – $85.45 | 21,513 | 1 |
| Brighton, CO | $13.51 | $0.00 – $165.54 | 21,522 | 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.