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 |
|---|---|---|---|---|
| Ludington, MI | $195.32 | $195.32 – $195.32 | 40,421 | 1 |
| Leitchfield, KY | $152.03 | $16.58 – $397.17 | 40,616 | 14 |
| Clinton, OK | $64.00 | $0.00 – $72.27 | 40,617 | 27 |
| Kettering, OH | $65.01 | $17.54 – $207.48 | 40,733 | 14 |
| Hamilton, NJ | $53.68 | $0.00 – $425.00 | 40,748 | 12 |
| Costa Mesa, CA | $78.08 | $0.93 – $94.67 | 40,835 | 5 |
| Great Falls, MT | $87.54 | $0.00 – $193.93 | 40,919 | 10 |
| National City, CA | $152.04 | $0.00 – $165.29 | 40,929 | 6 |
| Jackson, LA | $97.65 | $97.65 – $97.65 | 41,018 | 1 |
| Rock Hill, SC | $83.11 | $16.02 – $101.63 | 41,235 | 4 |
| Alpena, MI | $92.14 | $78.65 – $146.20 | 41,338 | 3 |
| Walnut Hills, OH | $134.34 | $11.24 – $242.97 | 41,347 | 36 |
| Waterloo, IA | $10.30 | $0.00 – $71.64 | 41,354 | 8 |
| Rupert, ID | $194.40 | $92.78 – $263.82 | 41,406 | 2 |
| Freeport, IL | $85.58 | $35.99 – $99.52 | 41,420 | 5 |
| St Augustine, FL | $60.58 | $14.48 – $113.10 | 41,481 | 6 |
| Bay City, MI | $54.03 | $7.98 – $92.39 | 41,500 | 9 |
| Ona, WV | $0.02 | $0.00 – $0.04 | 41,506 | 3 |
| Huntington Station, NY | $29.35 | $26.14 – $30.22 | 41,561 | 5 |
| Lutz, FL | $31.68 | $31.68 – $31.68 | 41,720 | 1 |
| Sterling, CO | $154.01 | $27.18 – $280.05 | 41,757 | 7 |
| Harvey, LA | $87.11 | $10.10 – $123.71 | 41,792 | 4 |
| Ewing, NJ | $91.65 | $33.71 – $109.74 | 41,908 | 6 |
| Marion, IL | $80.58 | $53.00 – $128.25 | 41,950 | 8 |
| Madill, OK | $60.06 | $53.98 – $72.86 | 42,018 | 7 |
| Tulalip, WA | $33.36 | $24.82 – $111.78 | 42,381 | 3 |
| Pryor, OK | $51.91 | $0.00 – $314.01 | 42,598 | 65 |
| Riverhead, NY | $29.80 | $26.08 – $90.44 | 42,653 | 6 |
| Paso Robles, CA | $90.39 | $0.00 – $90.56 | 42,708 | 2 |
| Perris, CA | $82.50 | $0.00 – $419.38 | 42,853 | 21 |
| Brunswick, GA | $59.25 | $57.41 – $61.96 | 42,919 | 2 |
| Getzville, NY | $120.54 | $120.54 – $120.54 | 43,085 | 1 |
| Belfast, ME | $100.70 | $55.92 – $179.89 | 43,103 | 25 |
| Galloway, NJ | $102.92 | $9.83 – $110.72 | 43,251 | 4 |
| Atlantic City, NJ | $77.24 | $0.00 – $109.48 | 43,281 | 4 |
| Campbellsville, KY | $170.23 | $0.00 – $261.83 | 43,309 | 12 |
| Trumansburg, NY | $205.38 | $205.38 – $205.38 | 43,406 | 1 |
| Lisbon, OH | $89.47 | $21.15 – $235.55 | 43,433 | 27 |
| Supply, NC | $103.74 | $103.74 – $103.74 | 43,501 | 1 |
| Gardena, CA | $95.39 | $0.00 – $157.10 | 43,622 | 7 |
| Glenwood, MD | $84.78 | $75.40 – $92.31 | 43,651 | 3 |
| Lafayette, CO | $38.62 | $0.00 – $300.40 | 43,655 | 27 |
| Brentwood, TN | $129.87 | $24.00 – $284.95 | 43,678 | 18 |
| South Boston, MA | $244.37 | $104.13 – $265.65 | 43,728 | 3 |
| Palos Hills, IL | $94.16 | $94.16 – $94.16 | 43,740 | 1 |
| New Philadelphia, OH | $109.22 | $25.74 – $195.14 | 43,772 | 31 |
| West Frankfort, IL | $82.16 | $0.00 – $83.72 | 43,930 | 4 |
| Ottawa, IL | $73.49 | $53.16 – $74.67 | 44,119 | 3 |
| Kingston, OK | $69.84 | $41.16 – $73.13 | 44,216 | 11 |
| Slidell, LA | $111.22 | $25.30 – $124.35 | 44,332 | 16 |
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.