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 |
|---|---|---|---|---|
| Malden, MA | $64.77 | $39.46 – $64.97 | 25,552 | 2 |
| Wakeman, OH | $215.15 | $215.15 – $215.15 | 25,556 | 1 |
| Willow Brook, IL | $106.55 | $106.55 – $106.55 | 25,557 | 1 |
| Centreville, MD | $100.81 | $100.81 – $100.81 | 25,585 | 1 |
| Woodside, NY | $0.86 | $0.00 – $43.04 | 25,674 | 13 |
| Opelika, AL | $68.12 | $68.12 – $68.12 | 25,770 | 1 |
| Havertown, PA | $186.98 | $31.69 – $226.23 | 25,835 | 2 |
| Troy, AL | $46.65 | $46.65 – $46.65 | 25,838 | 1 |
| Glen Carbon, IL | $78.29 | $78.29 – $78.29 | 25,978 | 1 |
| Dothan, AL | $48.26 | $15.51 – $66.56 | 26,078 | 6 |
| Forest City, NC | $76.67 | $47.59 – $159.02 | 26,092 | 5 |
| Kailua Kona, HI | $51.00 | $51.00 – $51.00 | 26,097 | 1 |
| Coon Rapids, MN | $149.06 | $69.25 – $208.71 | 26,186 | 8 |
| Hollister, CA | $82.99 | $34.35 – $87.48 | 26,196 | 2 |
| Perrysville, OH | $63.95 | $12.09 – $169.15 | 26,247 | 12 |
| Cottage Grove, OR | $50.97 | $0.00 – $544.74 | 26,267 | 21 |
| Fort Oglethorpe, GA | $14.09 | $14.09 – $14.09 | 26,298 | 1 |
| Adrian, MI | $98.32 | $77.16 – $146.47 | 26,301 | 4 |
| Westminster, MA | $174.63 | $166.66 – $205.85 | 26,303 | 2 |
| Phila, PA | $344.25 | $0.00 – $360.82 | 26,323 | 3 |
| Chandler, OK | $66.68 | $0.00 – $71.56 | 26,366 | 12 |
| Gladstone, OR | $67.78 | $49.45 – $213.36 | 26,370 | 15 |
| Burlington, WI | $12.61 | $4.28 – $41.29 | 26,449 | 3 |
| Parksley, VA | $266.58 | $24.00 – $267.43 | 26,453 | 3 |
| Floyd, VA | $123.12 | $15.63 – $125.97 | 26,463 | 3 |
| Coweta, OK | $64.84 | $0.00 – $71.17 | 26,476 | 9 |
| Ionia, MI | $235.38 | $110.00 – $235.51 | 26,520 | 2 |
| Elko, NV | $129.49 | $0.00 – $234.29 | 26,650 | 5 |
| Kokomo, IN | $187.34 | $26.83 – $459.08 | 26,703 | 10 |
| Cass Lake, MN | $797.04 | $353.37 – $4,423 | 26,709 | 4 |
| Mt Sterling, IL | $63.24 | $63.24 – $63.24 | 26,759 | 1 |
| Texarkana, TX | $70.85 | $47.04 – $90.76 | 26,802 | 5 |
| Lebanon, TN | $61.29 | $9.12 – $139.67 | 26,840 | 7 |
| Piqua, OH | $78.46 | $0.00 – $275.83 | 26,882 | 21 |
| Chestertown, MD | $47.83 | $47.76 – $48.11 | 26,923 | 2 |
| Gray, ME | $98.85 | $53.94 – $153.72 | 26,944 | 12 |
| Murray, UT | $40.45 | $24.41 – $97.43 | 27,020 | 5 |
| Fort Dodge, IA | $51.30 | $1.16 – $298.35 | 27,115 | 3 |
| Mebane, NC | $133.40 | $133.25 – $144.06 | 27,196 | 2 |
| Henryville, PA | $249.80 | $249.80 – $249.80 | 27,222 | 1 |
| Missoula, MT | $96.72 | $0.00 – $233.85 | 27,269 | 12 |
| Altus, OK | $64.82 | $1.45 – $188.76 | 27,290 | 19 |
| Coram, NY | $109.13 | $1.21 – $110.25 | 27,292 | 2 |
| Plainville, CT | $16.79 | $0.00 – $150.12 | 27,302 | 9 |
| Dover, NH | $51.15 | $17.93 – $96.67 | 27,303 | 12 |
| Silver Springs, NV | $0.03 | $0.00 – $64.88 | 27,325 | 2 |
| Florence, AL | $86.92 | $20.84 – $118.39 | 27,336 | 8 |
| Hastings, MN | $89.78 | $64.01 – $155.03 | 27,434 | 5 |
| Marlboro, NJ | $1,092 | $936.18 – $1,352 | 27,474 | 2 |
| Edison, NJ | $101.05 | $0.00 – $111.25 | 27,504 | 7 |
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.