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 |
|---|---|---|---|---|
| Concord, MA | $46.90 | $0.00 – $67.62 | 44,340 | 3 |
| Crownsville, MD | $144.18 | $109.07 – $177.97 | 44,374 | 4 |
| White River Junction, VT | $16.03 | $10.25 – $90.47 | 44,399 | 2 |
| Bedford, IN | $418.90 | $418.90 – $418.90 | 44,412 | 1 |
| Mishawaka, IN | $382.09 | $126.49 – $383.42 | 44,432 | 2 |
| Pekin, IL | $79.88 | $26.43 – $84.56 | 44,505 | 5 |
| Oldsmar, FL | $50.93 | $50.93 – $50.93 | 44,531 | 1 |
| Hoquiam, WA | $78.31 | $0.00 – $172.90 | 44,582 | 19 |
| Springvale, ME | $84.72 | $29.41 – $136.01 | 44,609 | 26 |
| Douglas, AZ | $102.55 | $0.00 – $122.47 | 44,692 | 7 |
| Mora, MN | $505.39 | $24.42 – $1,392 | 44,730 | 6 |
| St Cloud, MN | $178.38 | $160.52 – $674.74 | 44,995 | 4 |
| Goodyear, AZ | $158.11 | $0.00 – $1,877 | 45,059 | 14 |
| Purcell, OK | $66.28 | $57.56 – $73.46 | 45,065 | 16 |
| Globe, AZ | $55.99 | $44.02 – $184.93 | 45,081 | 4 |
| Georgetown, OH | $94.45 | $0.00 – $244.11 | 45,156 | 37 |
| Fort Smith, AR | $65.86 | $0.00 – $88.72 | 45,176 | 13 |
| Edina, MN | $83.56 | $10.26 – $94.33 | 45,209 | 5 |
| Desert Hot Springs, CA | $91.77 | $0.00 – $262.00 | 45,213 | 5 |
| Southbridge, MA | $18.34 | $13.91 – $74.67 | 45,224 | 3 |
| Montebello, CA | $79.81 | $0.00 – $85.92 | 45,362 | 6 |
| Harlingen, TX | $69.36 | $69.28 – $83.55 | 45,442 | 2 |
| Dalton, GA | $50.77 | $17.88 – $55.94 | 45,603 | 4 |
| South St Paul, MN | $114.58 | $114.16 – $224.58 | 45,604 | 2 |
| Astoria, NY | $35.78 | $0.00 – $187.91 | 45,614 | 18 |
| Pine City, MN | $381.02 | $45.64 – $1,548 | 45,706 | 5 |
| Richmond Heights, OH | $33.52 | $33.49 – $97.62 | 45,737 | 2 |
| Canton, NY | $41.81 | $41.81 – $41.81 | 45,772 | 1 |
| Socorro, NM | $126.23 | $26.48 – $128.56 | 45,831 | 4 |
| Roxboro, NC | $138.16 | $4.75 – $148.77 | 46,169 | 5 |
| Aspen, CO | $122.75 | $122.70 – $164.08 | 46,269 | 2 |
| Pahrump, NV | $94.33 | $5.54 – $117.72 | 46,312 | 19 |
| Stigler, OK | $62.55 | $38.68 – $73.34 | 46,386 | 22 |
| Orange Park, FL | $62.77 | $0.00 – $64.87 | 46,459 | 6 |
| Auburn, NY | $120.59 | $47.27 – $138.26 | 46,510 | 4 |
| Ridgecrest, CA | $41.52 | $16.49 – $190.93 | 46,587 | 2 |
| Banning, CA | $102.13 | $0.00 – $269.93 | 46,609 | 8 |
| Vernon, AZ | $152.22 | $142.91 – $163.64 | 46,836 | 2 |
| Campton, KY | $19.08 | $9.75 – $31.21 | 46,855 | 3 |
| Brick, NJ | $120.46 | $23.59 – $166.26 | 46,954 | 7 |
| Brunswick, ME | $75.70 | $0.00 – $160.92 | 46,977 | 46 |
| Merrillville Bra, IN | $63.69 | $63.69 – $63.69 | 46,980 | 1 |
| Jenks, OK | $49.49 | $36.17 – $74.85 | 47,116 | 9 |
| Takoma Park, MD | $68.23 | $0.00 – $79.53 | 47,123 | 4 |
| Pikesville, MD | $267.96 | $71.28 – $289.08 | 47,297 | 12 |
| Salmon, ID | $130.28 | $63.86 – $151.18 | 47,303 | 3 |
| Chesterfield, VA | $263.11 | $14.05 – $316.25 | 47,596 | 8 |
| Alamosa, CO | $82.88 | $0.00 – $223.45 | 47,636 | 11 |
| Milford, OH | $93.93 | $0.00 – $239.94 | 47,809 | 35 |
| Sioux City, IA | $50.78 | $0.00 – $165.34 | 47,913 | 8 |
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.