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 |
|---|---|---|---|---|
| Dodgeville, WI | $7.36 | $7.36 – $7.36 | 65 | 1 |
| Vacaville, CA | $140.92 | $140.92 – $140.92 | 65 | 1 |
| Raritan, NJ | $97.24 | $97.24 – $97.24 | 65 | 1 |
| Amenia, NY | $37.95 | $37.95 – $37.95 | 65 | 1 |
| Fairfield, CT | $168.36 | $168.36 – $168.36 | 66 | 1 |
| North Babylon, NY | $150.44 | $150.44 – $150.44 | 66 | 1 |
| Keshena, WI | $62.49 | $46.57 – $72.84 | 66 | 2 |
| Trinity, FL | $14.24 | $12.80 – $15.15 | 67 | 3 |
| Dequincy, LA | $0.00 | $0.00 – $0.00 | 67 | 1 |
| Branchburg, NJ | $34.14 | $34.14 – $34.14 | 67 | 1 |
| Flemingsburg, KY | $40.79 | $40.79 – $40.79 | 67 | 1 |
| Belleville, WI | $16.07 | $16.07 – $16.07 | 68 | 1 |
| Hinckley, MN | $376.82 | $376.82 – $376.82 | 68 | 1 |
| Coloma, CA | $8.26 | $8.26 – $8.26 | 68 | 1 |
| Blue Earth, MN | $674.10 | $674.10 – $674.10 | 69 | 1 |
| Martin, KY | $0.00 | $0.00 – $0.00 | 69 | 1 |
| Dexter, ME | $94.53 | $94.53 – $94.53 | 69 | 1 |
| Mosheim, TN | $6.63 | $6.63 – $6.63 | 69 | 1 |
| Warsaw, NY | $51.78 | $51.78 – $51.78 | 70 | 1 |
| Bonners Ferry, ID | $65.14 | $65.14 – $65.14 | 70 | 1 |
| Woodland, WA | $141.98 | $141.98 – $141.98 | 70 | 1 |
| Bowmansville, NY | $13.07 | $13.07 – $13.07 | 70 | 1 |
| Cibolo, TX | $0.00 | $0.00 – $0.00 | 70 | 1 |
| Chugiak, AK | $825.06 | $825.06 – $825.06 | 70 | 1 |
| Eagle Rock, CA | $0.00 | $0.00 – $0.00 | 70 | 1 |
| Olathe, KS | $2.25 | $2.25 – $2.25 | 71 | 1 |
| Port Allen, LA | $0.00 | $0.00 – $0.00 | 71 | 1 |
| Rockport, WA | $0.00 | $0.00 – $0.00 | 71 | 1 |
| Columbiana, OH | $114.75 | $114.75 – $114.75 | 72 | 1 |
| Glendale, NY | $39.10 | $39.10 – $39.10 | 72 | 1 |
| South Jordan, UT | $111.79 | $111.79 – $111.79 | 72 | 1 |
| Spring Valley, OH | $58.08 | $47.63 – $61.06 | 72 | 2 |
| Bartlett, NE | $215.40 | $215.40 – $215.40 | 72 | 1 |
| Pinedale, AZ | $0.00 | $0.00 – $0.00 | 72 | 1 |
| Southaven, MS | $0.00 | $0.00 – $0.00 | 73 | 1 |
| Spencer, WV | $0.00 | $0.00 – $0.00 | 73 | 2 |
| Marcellus, NY | $159.30 | $159.30 – $159.30 | 73 | 1 |
| Verona, NJ | $109.48 | $109.48 – $109.48 | 74 | 1 |
| Live Oak, FL | $25.84 | $25.84 – $25.84 | 75 | 1 |
| Lapwai, ID | $199.37 | $199.37 – $199.37 | 76 | 1 |
| Albion, ME | $48.51 | $48.51 – $48.51 | 76 | 1 |
| Byron, GA | $0.00 | $0.00 – $0.00 | 76 | 1 |
| Mount Shasta, CA | $0.00 | $0.00 – $0.00 | 77 | 3 |
| Lake St Louis, MO | $12.58 | $12.58 – $12.58 | 77 | 1 |
| Frederiksted, VI | $0.00 | $0.00 – $0.00 | 77 | 1 |
| Bloomfield, NJ | $62.72 | $0.00 – $85.83 | 78 | 2 |
| Vonore, TN | $209.52 | $209.52 – $209.52 | 78 | 1 |
| Mill Creek, WV | $0.00 | $0.00 – $0.00 | 78 | 1 |
| Hancock, ME | $83.44 | $83.44 – $83.44 | 78 | 1 |
| Endicott, WA | $0.00 | $0.00 – $0.00 | 78 | 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.