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 |
|---|---|---|---|---|
| Pasadena, MD | $90.42 | $85.18 – $101.13 | 97,940 | 3 |
| Clarksville, IN | $390.42 | $24.73 – $450.07 | 97,993 | 5 |
| Milwaukie, OR | $61.92 | $0.00 – $231.62 | 98,097 | 38 |
| Franklin, TN | $353.52 | $0.00 – $1,684 | 98,192 | 16 |
| New Bern, NC | $64.93 | $16.55 – $148.27 | 98,296 | 5 |
| Perrysburg, OH | $249.21 | $24.97 – $264.64 | 98,340 | 16 |
| Dekalb, IL | $93.80 | $61.24 – $123.06 | 98,423 | 7 |
| Stillwater, OK | $54.47 | $0.00 – $92.21 | 98,500 | 103 |
| South Point, OH | $75.92 | $0.00 – $271.68 | 98,651 | 54 |
| Ada, OK | $61.48 | $0.00 – $578.61 | 98,841 | 63 |
| Plainfield, NJ | $93.42 | $4.25 – $94.80 | 99,318 | 2 |
| Bloomington, IL | $86.83 | $58.04 – $127.54 | 99,325 | 7 |
| Ukiah, CA | $232.96 | $0.00 – $265.50 | 99,409 | 7 |
| Walker, WV | $243.75 | $243.75 – $243.75 | 99,490 | 1 |
| San Tan Valley, AZ | $66.62 | $0.08 – $607.64 | 99,516 | 4 |
| Albert Lea, MN | $127.86 | $92.92 – $144.81 | 99,601 | 4 |
| Geneseo, NY | $113.33 | $113.33 – $113.33 | 99,780 | 1 |
| Middletown, CT | $210.85 | $0.00 – $367.35 | 99,933 | 16 |
| Mandan, ND | $10.72 | $10.68 – $54.03 | 100,992 | 2 |
| Indian Harbour Beach, FL | $64.68 | $64.68 – $64.68 | 101,414 | 1 |
| Caldwell, ID | $146.14 | $35.91 – $188.34 | 101,538 | 15 |
| Putnam, CT | $20.60 | $13.80 – $444.87 | 101,587 | 3 |
| Newport, OR | $108.77 | $0.00 – $346.81 | 102,414 | 37 |
| Batavia, OH | $69.42 | $0.00 – $303.24 | 102,673 | 68 |
| Klamath Falls, OR | $63.56 | $12.72 – $531.85 | 103,194 | 88 |
| Erwin, NC | $29.11 | $29.11 – $29.11 | 103,533 | 1 |
| Orlando, FL | $57.58 | $0.00 – $119.40 | 103,757 | 45 |
| Elizabeth City, NC | $29.64 | $27.11 – $156.40 | 104,158 | 3 |
| Front Royal, VA | $256.36 | $8.68 – $291.27 | 104,167 | 5 |
| Matteson, IL | $76.10 | $71.73 – $111.80 | 104,471 | 6 |
| Columbus, IN | $171.29 | $6.46 – $209.34 | 104,562 | 5 |
| Prince Frederick, MD | $66.84 | $0.00 – $71.32 | 104,684 | 6 |
| Lowell, MA | $47.44 | $6.05 – $492.31 | 105,403 | 39 |
| Hazard, KY | $46.27 | $0.00 – $122.95 | 105,438 | 41 |
| Moore, OK | $66.72 | $24.76 – $75.34 | 105,858 | 82 |
| Flushing, NY | $6.10 | $0.00 – $47.47 | 105,997 | 80 |
| Montrose, CO | $81.04 | $0.00 – $317.95 | 105,998 | 19 |
| Yukon, OK | $68.81 | $0.00 – $577.76 | 106,307 | 60 |
| San Jacinto, CA | $84.01 | $0.00 – $380.29 | 106,465 | 8 |
| St. Paul, MN | $113.97 | $56.75 – $118.13 | 107,620 | 3 |
| Moncks Corner, SC | $19.79 | $16.43 – $87.13 | 107,637 | 3 |
| Waverly, MN | $260.18 | $17.13 – $541.43 | 108,617 | 3 |
| Greenwood Village, CO | $67.36 | $0.00 – $103.38 | 109,124 | 7 |
| Newton, AL | $25.56 | $25.56 – $25.56 | 109,502 | 1 |
| Franklin, VA | $10.89 | $10.89 – $10.89 | 109,654 | 1 |
| West Lebanon, NH | $31.56 | $31.56 – $31.56 | 109,905 | 1 |
| Cambridge, OH | $105.81 | $0.00 – $207.88 | 110,015 | 59 |
| Augusta, GA | $15.95 | $0.00 – $41.49 | 110,065 | 4 |
| Lebanon, CT | $163.66 | $163.66 – $163.66 | 110,148 | 1 |
| Parkville, MD | $194.09 | $70.05 – $236.01 | 110,210 | 11 |
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.