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 |
|---|---|---|---|---|
| Champaign, IL | $91.91 | $0.00 – $183.55 | 56,264 | 12 |
| Cartersville, GA | $40.99 | $18.75 – $280.47 | 56,417 | 3 |
| Cambridge City, IN | $440.29 | $440.29 – $440.29 | 56,441 | 1 |
| Avon, IN | $72.70 | $7.77 – $84.32 | 56,481 | 8 |
| Ravenna, OH | $78.37 | $29.34 – $198.36 | 56,529 | 17 |
| Barryville, NY | $156.46 | $156.46 – $156.46 | 56,530 | 1 |
| Troy, OH | $27.98 | $0.26 – $215.29 | 56,540 | 18 |
| Festus, MO | $0.00 | $0.00 – $0.00 | 56,802 | 18 |
| Germantown, MD | $81.28 | $70.22 – $101.31 | 56,817 | 3 |
| French Camp, CA | $2.41 | $0.00 – $165.09 | 56,886 | 4 |
| Silver Spring, MD | $297.61 | $22.95 – $426.74 | 56,951 | 16 |
| Fitchburg, MA | $15.78 | $0.00 – $168.03 | 56,985 | 7 |
| Coventry Township, OH | $198.97 | $18.51 – $771.69 | 56,989 | 24 |
| Saint Francis, WI | $14.73 | $14.73 – $14.73 | 57,089 | 1 |
| Logan, UT | $5.32 | $0.00 – $76.13 | 57,232 | 4 |
| Parker, CO | $114.71 | $0.15 – $244.69 | 57,422 | 10 |
| St George, UT | $26.87 | $0.00 – $74.49 | 57,430 | 6 |
| San Mateo, CA | $93.92 | $20.27 – $200.41 | 57,631 | 7 |
| Bluffton, IN | $347.80 | $347.80 – $347.80 | 57,755 | 1 |
| Cloquet, MN | $307.34 | $94.07 – $388.35 | 57,845 | 6 |
| Sapulpa, OK | $56.87 | $0.00 – $593.67 | 57,890 | 49 |
| Dover, DE | $47.47 | $0.00 – $227.91 | 57,943 | 14 |
| Ormond Beach, FL | $62.44 | $61.08 – $64.34 | 57,962 | 2 |
| Eldersburg, MD | $126.14 | $70.30 – $248.30 | 58,107 | 2 |
| San Leandro, CA | $159.48 | $0.00 – $200.34 | 58,213 | 6 |
| Redwood City, CA | $110.63 | $10.80 – $128.09 | 58,266 | 3 |
| Burlington, VT | $708.59 | $29.42 – $1,170 | 58,383 | 32 |
| Aloha, OR | $90.65 | $5.77 – $276.09 | 58,498 | 50 |
| Logan, OH | $74.13 | $0.00 – $193.40 | 58,510 | 21 |
| Ocean City, MD | $65.04 | $39.23 – $65.05 | 58,589 | 2 |
| Fowler, CA | $259.21 | $20.94 – $319.52 | 58,659 | 4 |
| La Mesa, CA | $98.50 | $0.00 – $188.65 | 58,742 | 6 |
| Guthrie, OK | $60.72 | $19.66 – $69.81 | 59,010 | 17 |
| Union City, NJ | $110.07 | $110.07 – $110.07 | 59,030 | 1 |
| Fairborn, OH | $105.33 | $14.81 – $194.68 | 59,099 | 49 |
| Eagleville, PA | $488.03 | $488.03 – $488.03 | 59,151 | 1 |
| Paxton, IL | $92.10 | $92.10 – $92.10 | 59,338 | 1 |
| Highlands Ranch, CO | $98.23 | $0.00 – $98.74 | 59,659 | 6 |
| Chesterton, IN | $73.89 | $0.00 – $73.93 | 59,800 | 2 |
| Reidsville, NC | $93.89 | $12.41 – $228.14 | 59,801 | 4 |
| Watseka, IL | $102.15 | $69.40 – $150.77 | 59,804 | 3 |
| Little Rock, AR | $62.67 | $0.00 – $105.30 | 59,808 | 31 |
| Rockville, IN | $361.44 | $143.85 – $374.61 | 59,907 | 2 |
| Morganton, NC | $120.04 | $66.96 – $184.89 | 60,000 | 7 |
| Twin Falls, ID | $108.64 | $31.75 – $244.69 | 60,035 | 21 |
| Sylvania, OH | $143.68 | $35.43 – $171.85 | 60,068 | 6 |
| Beltsville, MD | $420.15 | $0.00 – $451.48 | 60,167 | 5 |
| Wading River, NY | $141.03 | $114.59 – $141.06 | 60,178 | 2 |
| Kennewick, WA | $58.89 | $0.00 – $534.86 | 60,233 | 92 |
| Orange, CA | $88.09 | $0.00 – $257.81 | 60,850 | 23 |
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.