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 |
|---|---|---|---|---|
| West Warwick, RI | $39.19 | $13.72 – $40.25 | 60,916 | 3 |
| Gresham, OR | $98.58 | $0.00 – $564.25 | 61,059 | 51 |
| El Paso, TX | $32.31 | $0.00 – $193.41 | 61,121 | 13 |
| Owings Mills, MD | $115.88 | $66.13 – $243.29 | 61,154 | 12 |
| Santa Monica, CA | $83.10 | $0.00 – $319.37 | 61,258 | 8 |
| Skowhegan, ME | $79.90 | $40.94 – $99.93 | 61,385 | 33 |
| Minnetonka, MN | $180.88 | $24.71 – $780.48 | 61,494 | 10 |
| Mount Orab, OH | $57.64 | $0.00 – $202.66 | 61,579 | 99 |
| Mount Vernon, WA | $31.17 | $0.00 – $193.22 | 61,601 | 31 |
| Barbourville, KY | $75.19 | $0.00 – $101.11 | 61,729 | 8 |
| Boone, NC | $66.37 | $0.00 – $67.66 | 61,779 | 3 |
| Jamaica Plain, MA | $128.33 | $0.00 – $207.09 | 61,997 | 11 |
| Columbia, SC | $57.90 | $0.00 – $180.64 | 62,054 | 29 |
| Silver City, NM | $111.43 | $46.13 – $252.94 | 62,198 | 9 |
| Mequon, WI | $12.05 | $11.34 – $41.40 | 62,271 | 4 |
| Muncie, IN | $99.34 | $68.12 – $267.76 | 62,334 | 7 |
| Joppa, MD | $69.65 | $69.63 – $82.12 | 62,493 | 2 |
| Norway, ME | $77.17 | $0.00 – $100.95 | 62,699 | 30 |
| Sarasota, FL | $41.59 | $0.04 – $129.81 | 62,770 | 12 |
| Payson, AZ | $33.83 | $0.00 – $78.61 | 62,783 | 4 |
| Maxwelton, WV | $102.91 | $0.00 – $110.38 | 63,052 | 7 |
| Crystal Lake, IL | $82.33 | $43.51 – $96.31 | 63,197 | 7 |
| Liverpool, NY | $26.09 | $21.50 – $26.62 | 63,329 | 5 |
| Holland, OH | $118.12 | $0.00 – $215.42 | 63,754 | 45 |
| Plymouth, NC | $151.47 | $151.47 – $151.47 | 64,201 | 1 |
| Orchard Park, NY | $22.83 | $0.00 – $23.01 | 64,340 | 2 |
| Englewood, CO | $50.42 | $0.00 – $400.00 | 64,465 | 25 |
| Emmett, ID | $46.10 | $33.75 – $60.34 | 64,584 | 5 |
| La Junta, CO | $70.07 | $0.00 – $119.85 | 64,773 | 5 |
| Chatsworth, CA | $43.13 | $0.00 – $224.64 | 64,836 | 4 |
| Torrance, CA | $84.28 | $0.00 – $288.84 | 65,041 | 10 |
| Concord, CA | $110.69 | $0.00 – $503.88 | 65,134 | 18 |
| Plymouth, MI | $187.30 | $50.76 – $195.63 | 65,331 | 2 |
| Sallisaw, OK | $60.83 | $0.00 – $355.11 | 65,788 | 39 |
| Frankfort, KY | $74.00 | $16.12 – $109.18 | 65,891 | 21 |
| Berea, KY | $102.32 | $27.82 – $113.66 | 66,231 | 6 |
| Kenosha, WI | $17.89 | $0.00 – $73.81 | 66,245 | 28 |
| Vineland, NJ | $74.62 | $4.25 – $112.12 | 66,378 | 9 |
| Coburg, OR | $156.50 | $20.59 – $277.50 | 66,382 | 27 |
| Boardman, OH | $124.47 | $0.00 – $301.38 | 66,582 | 39 |
| Gray, TN | $74.23 | $53.33 – $230.52 | 66,973 | 2 |
| Tallulah, LA | $94.66 | $3.88 – $143.06 | 67,134 | 16 |
| Santa Paula, CA | $82.15 | $82.15 – $82.15 | 67,196 | 1 |
| New Brunswick, NJ | $76.63 | $0.00 – $1,163 | 67,549 | 6 |
| Springdale, AR | $91.56 | $0.00 – $95.35 | 67,585 | 4 |
| Farmville, VA | $335.10 | $250.00 – $335.19 | 67,876 | 2 |
| Corvallis, OR | $69.90 | $0.00 – $164.70 | 67,891 | 69 |
| Bloomington, IN | $396.19 | $7.83 – $516.67 | 67,934 | 9 |
| Pendleton, OR | $43.58 | $0.00 – $498.11 | 67,961 | 47 |
| Owingsville, KY | $41.75 | $41.75 – $41.75 | 68,178 | 1 |
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.