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 |
|---|---|---|---|---|
| Steubenville, OH | $104.49 | $13.88 – $224.82 | 84,458 | 47 |
| Egg Harbor Township, NJ | $91.91 | $28.38 – $112.67 | 84,650 | 3 |
| Rockland, ME | $60.84 | $3.57 – $162.34 | 85,044 | 33 |
| Moline, IL | $75.66 | $8.06 – $121.86 | 85,865 | 5 |
| Redford, MI | $63.48 | $38.96 – $69.01 | 85,921 | 2 |
| Shelby, NC | $48.33 | $1.53 – $230.17 | 86,190 | 8 |
| Jackson, OH | $116.20 | $17.88 – $187.55 | 86,604 | 67 |
| Lewiston, ID | $102.12 | $0.00 – $161.15 | 86,773 | 7 |
| Cambridge, MA | $63.43 | $57.43 – $63.44 | 86,792 | 3 |
| West Chester, OH | $93.30 | $0.00 – $190.87 | 87,010 | 47 |
| Juneau, AK | $716.96 | $0.00 – $864.34 | 87,125 | 21 |
| Newark, CA | $86.04 | $0.00 – $86.63 | 87,926 | 3 |
| Newburgh, NY | $156.09 | $11.02 – $175.57 | 88,433 | 7 |
| Redmond, OR | $81.85 | $0.58 – $549.90 | 88,825 | 54 |
| Covina, CA | $114.04 | $0.00 – $272.39 | 88,987 | 9 |
| Winston Salem, NC | $80.43 | $13.59 – $261.90 | 89,466 | 16 |
| Montgomery, AL | $55.85 | $0.00 – $110.18 | 89,700 | 10 |
| Berwyn, IL | $104.08 | $0.00 – $106.12 | 89,713 | 5 |
| Whitehall, OH | $113.45 | $0.00 – $333.49 | 89,749 | 71 |
| Greendale, IN | $20.02 | $19.73 – $67.21 | 89,769 | 2 |
| Janesville, WI | $13.07 | $8.60 – $192.24 | 89,882 | 22 |
| Grass Valley, CA | $90.67 | $0.00 – $307.82 | 90,320 | 9 |
| Lawrenceburg, IN | $224.67 | $91.49 – $236.58 | 90,776 | 7 |
| Waterford, MI | $86.90 | $26.25 – $728.33 | 90,869 | 4 |
| Fairfield, OH | $123.35 | $6.13 – $334.62 | 90,908 | 87 |
| Mandeville, LA | $86.78 | $0.00 – $174.91 | 91,253 | 10 |
| Wheelersburg, OH | $169.98 | $16.79 – $349.25 | 91,938 | 44 |
| Middleburg Heights, OH | $71.27 | $16.48 – $221.39 | 92,109 | 21 |
| Decatur, IL | $76.70 | $3.51 – $116.74 | 92,401 | 13 |
| Murray, KY | $237.52 | $21.93 – $265.40 | 93,119 | 8 |
| Ceres, CA | $148.91 | $4.54 – $201.84 | 93,276 | 4 |
| Mill Creek, WA | $8.73 | $5.65 – $86.45 | 93,338 | 4 |
| Westbrook, ME | $99.70 | $32.04 – $174.88 | 93,507 | 24 |
| Marietta, OH | $90.27 | $0.00 – $253.86 | 93,732 | 48 |
| Gallipolis, OH | $144.92 | $20.79 – $234.01 | 94,115 | 55 |
| Hermitage, PA | $15.67 | $15.46 – $106.45 | 94,125 | 2 |
| Bedford, NH | $14.57 | $12.04 – $97.24 | 95,019 | 4 |
| Greenville, SC | $52.33 | $0.00 – $165.92 | 95,173 | 50 |
| Nogales, AZ | $74.19 | $0.00 – $146.49 | 95,342 | 8 |
| Chattanooga, TN | $105.87 | $0.00 – $252.05 | 95,523 | 14 |
| Columbia, MD | $80.14 | $49.88 – $244.47 | 95,724 | 9 |
| West Chester, PA | $63.51 | $0.00 – $345.00 | 95,946 | 3 |
| Hazelwood, MO | $83.26 | $83.26 – $83.26 | 96,359 | 1 |
| Pensacola, FL | $70.75 | $0.00 – $162.79 | 96,775 | 29 |
| Chalfont, PA | $64.43 | $64.43 – $64.43 | 96,970 | 1 |
| Covington, KY | $62.67 | $0.00 – $333.76 | 96,986 | 47 |
| Nevada, MO | $27.73 | $0.00 – $111.92 | 97,407 | 3 |
| South Milwaukee, WI | $9.41 | $0.00 – $42.70 | 97,596 | 13 |
| Racine, WI | $17.43 | $4.87 – $68.69 | 97,672 | 26 |
| Queen Creek, AZ | $41.14 | $0.00 – $126.33 | 97,935 | 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.