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 |
|---|---|---|---|---|
| Southlake, TX | $19.50 | $0.00 – $19.86 | 23,640 | 2 |
| Falmouth, MA | $93.43 | $61.31 – $93.49 | 23,655 | 2 |
| Lombard, IL | $96.43 | $93.89 – $96.43 | 23,665 | 2 |
| Howell, MI | $144.54 | $59.09 – $314.98 | 23,689 | 2 |
| Newport, TN | $112.06 | $105.75 – $253.86 | 23,759 | 4 |
| Williamsburg, PA | $209.01 | $209.01 – $209.01 | 23,771 | 1 |
| College Park, MD | $96.72 | $74.20 – $127.58 | 23,777 | 3 |
| Pittsburg, CA | $112.96 | $0.00 – $227.46 | 23,812 | 8 |
| Tumwater, WA | $28.78 | $0.00 – $160.77 | 23,853 | 23 |
| Lebanon, KY | $193.41 | $24.00 – $216.54 | 23,870 | 4 |
| Brighton, MI | $80.40 | $0.00 – $80.51 | 23,890 | 3 |
| Scarborough, ME | $83.86 | $56.84 – $115.64 | 23,907 | 26 |
| Lockport, NY | $188.27 | $3.46 – $747.81 | 23,973 | 3 |
| Norwalk, CT | $99.31 | $0.00 – $167.49 | 23,983 | 9 |
| Sunset, LA | $77.46 | $61.52 – $77.67 | 24,069 | 2 |
| Blythe, CA | $88.33 | $0.00 – $232.24 | 24,164 | 3 |
| Greenfield, OH | $133.95 | $23.27 – $198.70 | 24,172 | 11 |
| Grove, OK | $105.28 | $0.00 – $658.71 | 24,236 | 29 |
| Manchester, KY | $13.75 | $2.52 – $150.73 | 24,274 | 11 |
| Decatur, GA | $34.50 | $7.94 – $137.07 | 24,304 | 8 |
| Somerville, NJ | $99.89 | $92.87 – $109.63 | 24,329 | 2 |
| Mamou, LA | $97.24 | $70.12 – $98.21 | 24,338 | 2 |
| Welling, OK | $87.44 | $34.08 – $605.48 | 24,341 | 4 |
| Cushing, OK | $63.70 | $43.09 – $69.66 | 24,377 | 11 |
| Star, ID | $85.54 | $45.38 – $110.88 | 24,390 | 2 |
| Warrenton, VA | $370.64 | $370.64 – $370.64 | 24,431 | 1 |
| Montpelier, VT | $68.27 | $0.00 – $113.30 | 24,505 | 10 |
| Melbourne, FL | $86.00 | $0.00 – $107.04 | 24,515 | 11 |
| Princeton, IL | $79.14 | $46.17 – $103.60 | 24,582 | 4 |
| Burley, ID | $148.71 | $48.00 – $286.30 | 24,593 | 5 |
| Lodi, OH | $97.23 | $20.61 – $170.16 | 24,649 | 7 |
| Bayville, NJ | $108.80 | $69.57 – $113.33 | 24,675 | 3 |
| East Waterboro, ME | $166.36 | $166.36 – $166.36 | 24,739 | 1 |
| South Hero, VT | $415.70 | $415.70 – $415.70 | 24,743 | 1 |
| Wynnewood, OK | $67.54 | $25.50 – $72.33 | 24,775 | 9 |
| Stanton, MI | $144.19 | $144.19 – $144.19 | 24,897 | 1 |
| Barstow, CA | $55.53 | $0.00 – $118.55 | 24,936 | 11 |
| Springdale, OH | $103.37 | $103.37 – $103.37 | 24,953 | 1 |
| Effingham, IL | $85.77 | $48.86 – $105.82 | 24,969 | 3 |
| Ewa Beach, HI | $48.56 | $48.56 – $48.56 | 24,999 | 1 |
| Goshen, NY | $162.95 | $162.95 – $162.95 | 25,055 | 1 |
| Grand Forks, ND | $217.74 | $13.39 – $542.05 | 25,162 | 38 |
| Granite City, IL | $93.84 | $9.90 – $94.24 | 25,172 | 2 |
| Perkins, OK | $71.51 | $61.06 – $71.89 | 25,211 | 4 |
| Pinellas Park, FL | $63.46 | $0.00 – $64.08 | 25,250 | 2 |
| Danville, KY | $58.24 | $14.33 – $243.39 | 25,270 | 11 |
| Moscow, ID | $191.85 | $0.00 – $264.44 | 25,347 | 7 |
| Paris, TN | $102.11 | $33.09 – $104.39 | 25,463 | 2 |
| Oakland, MD | $65.11 | $65.11 – $65.11 | 25,473 | 1 |
| Mount Vernon, IL | $97.84 | $38.08 – $103.43 | 25,479 | 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.