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 |
|---|---|---|---|---|
| Newport Beach, CA | $121.58 | $0.00 – $153.51 | 52,412 | 6 |
| Loma Linda, CA | $0.00 | $0.00 – $0.19 | 52,500 | 144 |
| Forest Hills, NY | $113.15 | $0.00 – $191.72 | 52,654 | 11 |
| Cicero, IL | $102.99 | $22.40 – $108.63 | 52,683 | 4 |
| Huntington, NY | $103.26 | $49.35 – $114.75 | 52,810 | 3 |
| South Charleston, WV | $65.63 | $0.00 – $66.13 | 52,921 | 4 |
| Loveland, OH | $105.95 | $0.00 – $201.88 | 53,072 | 50 |
| Rutland, VT | $341.77 | $18.01 – $698.69 | 53,182 | 17 |
| Elk City, OK | $60.42 | $0.00 – $71.43 | 53,209 | 25 |
| Presque Isle, ME | $151.93 | $0.00 – $1,184 | 53,217 | 35 |
| Wenatchee, WA | $32.66 | $0.00 – $284.91 | 53,225 | 70 |
| Cleveland Heights, OH | $100.44 | $18.97 – $211.25 | 53,407 | 18 |
| Columbia City, IN | $44.48 | $44.48 – $44.48 | 53,442 | 1 |
| Nicholasville, KY | $54.01 | $7.79 – $225.75 | 53,587 | 18 |
| Franklin Furnace, OH | $131.36 | $24.24 – $241.04 | 53,663 | 30 |
| Princeton, MN | $116.55 | $85.94 – $157.40 | 53,733 | 2 |
| Kuna, ID | $69.90 | $36.38 – $173.22 | 53,748 | 5 |
| Princess Anne, MD | $125.06 | $39.05 – $137.88 | 53,908 | 6 |
| Brownsburg, IN | $128.01 | $10.60 – $128.30 | 54,271 | 2 |
| Des Moines, IA | $8.26 | $0.00 – $121.37 | 54,274 | 14 |
| Boley, OK | $36.44 | $28.54 – $59.18 | 54,281 | 20 |
| Rancho Cordova, CA | $28.01 | $0.00 – $30.47 | 54,308 | 3 |
| Temecula, CA | $95.31 | $0.00 – $248.53 | 54,448 | 20 |
| Cape May Court House, NJ | $87.21 | $71.93 – $141.47 | 54,466 | 5 |
| Willoughby, OH | $138.37 | $17.59 – $384.67 | 54,523 | 41 |
| Santee, CA | $116.70 | $0.00 – $130.45 | 54,538 | 3 |
| South Amboy, NJ | $282.87 | $113.84 – $1,636 | 54,620 | 3 |
| Hammonton, NJ | $393.24 | $0.00 – $436.61 | 54,639 | 4 |
| Fort Pierce, FL | $55.73 | $1.36 – $63.01 | 54,673 | 8 |
| San Martin, CA | $15.26 | $15.26 – $15.26 | 54,688 | 1 |
| Central City, KY | $12.76 | $0.00 – $60.27 | 54,954 | 6 |
| Plattsburgh, NY | $83.72 | $18.24 – $85.86 | 54,971 | 4 |
| Fridley, MN | $203.85 | $90.28 – $640.59 | 55,065 | 5 |
| Windsor Mill, MD | $202.08 | $44.59 – $321.89 | 55,082 | 10 |
| Arlington Heights, IL | $76.80 | $73.71 – $94.81 | 55,106 | 3 |
| Florence, KY | $70.02 | $0.00 – $304.04 | 55,179 | 21 |
| Milford, DE | $365.36 | $0.00 – $371.65 | 55,401 | 4 |
| Clyde, NC | $84.81 | $84.81 – $84.81 | 55,441 | 1 |
| Beachwood, OH | $100.11 | $0.00 – $259.37 | 55,466 | 40 |
| Denville, NJ | $90.85 | $90.85 – $90.85 | 55,510 | 1 |
| Jackson, MS | $27.55 | $1.05 – $69.13 | 55,510 | 13 |
| Albion, IN | $342.25 | $342.25 – $342.25 | 55,635 | 1 |
| Moorhead, MN | $215.80 | $0.26 – $566.06 | 55,675 | 19 |
| Okemah, OK | $42.87 | $0.16 – $70.98 | 55,700 | 8 |
| Port Huron, MI | $121.57 | $0.00 – $170.41 | 55,733 | 9 |
| Cheneyville, LA | $409.64 | $409.64 – $409.64 | 55,759 | 1 |
| Mchenry, IL | $80.77 | $21.06 – $104.87 | 55,768 | 6 |
| Hauppauge, NY | $29.47 | $24.11 – $116.81 | 55,771 | 8 |
| Lawrenceburg, KY | $61.66 | $42.36 – $209.18 | 55,896 | 4 |
| Hilo, HI | $22.11 | $0.00 – $81.91 | 56,206 | 5 |
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.