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 |
|---|---|---|---|---|
| Maumee, OH | $63.35 | $3.89 – $341.48 | 315,189 | 81 |
| Ogden, UT | $17.41 | $5.82 – $141.99 | 316,283 | 6 |
| Amherst, NY | $34.10 | $5.85 – $34.27 | 316,484 | 3 |
| Ventura, CA | $69.54 | $0.00 – $319.36 | 320,699 | 20 |
| South Prince George, VA | $11.62 | $11.06 – $47.93 | 320,909 | 5 |
| Mobile, AL | $50.14 | $0.00 – $102.43 | 321,167 | 6 |
| Suffolk, VA | $103.59 | $10.10 – $333.68 | 321,720 | 8 |
| Honolulu, HI | $20.02 | $0.00 – $123.58 | 322,535 | 19 |
| Panorama City, CA | $33.67 | $0.00 – $88.06 | 324,776 | 9 |
| Binghamton, NY | $63.01 | $34.47 – $174.54 | 326,249 | 9 |
| Aurora, IL | $99.72 | $27.69 – $119.64 | 326,771 | 11 |
| London, KY | $54.12 | $0.00 – $108.40 | 328,567 | 26 |
| Concord, NC | $69.82 | $44.47 – $165.13 | 329,017 | 10 |
| Anacortes, WA | $21.59 | $0.00 – $103.67 | 329,263 | 8 |
| Roanoke Rapids, NC | $133.65 | $0.00 – $243.22 | 329,653 | 9 |
| Walnut Creek, CA | $109.87 | $0.00 – $174.60 | 330,119 | 7 |
| Greenfield, MA | $30.35 | $4.02 – $143.03 | 330,296 | 12 |
| Swanzey, NH | $9.52 | $9.43 – $126.02 | 332,473 | 2 |
| Lynnwood, WA | $18.56 | $0.00 – $255.51 | 333,274 | 32 |
| Pico Rivera, CA | $20.17 | $17.87 – $104.68 | 333,905 | 3 |
| Jamaica, NY | $75.72 | $0.00 – $187.45 | 334,102 | 40 |
| Corydon, IN | $73.47 | $15.39 – $364.46 | 337,963 | 2 |
| Delta, CO | $130.96 | $0.00 – $136.79 | 338,824 | 8 |
| Oxnard, CA | $93.58 | $0.00 – $228.98 | 339,080 | 20 |
| Manassas, VA | $49.17 | $7.06 – $363.52 | 339,816 | 18 |
| Kelso, WA | $19.23 | $0.00 – $193.75 | 341,142 | 46 |
| Oshkosh, WI | $9.72 | $0.00 – $56.34 | 342,304 | 42 |
| Gaylord, MI | $15.80 | $15.80 – $15.80 | 343,163 | 1 |
| Westminster, MD | $92.60 | $2.61 – $228.13 | 343,495 | 19 |
| San Bernardino, CA | $16.99 | $0.00 – $222.29 | 344,444 | 106 |
| Framingham, MA | $53.68 | $0.00 – $76.48 | 345,950 | 11 |
| Henderson, NV | $24.53 | $0.00 – $441.42 | 346,174 | 101 |
| Prestonsburg, KY | $64.31 | $8.38 – $129.83 | 347,061 | 96 |
| Maple Heights, OH | $15.58 | $14.57 – $168.99 | 348,774 | 8 |
| Marysville, CA | $73.91 | $0.00 – $137.39 | 352,329 | 3 |
| Chula Vista, CA | $62.47 | $0.00 – $239.43 | 352,408 | 13 |
| Camden, NJ | $82.66 | $0.00 – $598.84 | 353,891 | 12 |
| Menlo Park, CA | $17.17 | $16.99 – $100.59 | 354,134 | 3 |
| Mansfield, OH | $73.58 | $0.00 – $333.60 | 356,433 | 159 |
| Avondale, AZ | $49.07 | $0.00 – $506.37 | 359,369 | 37 |
| Glenville, NY | $31.17 | $31.17 – $38.16 | 361,499 | 2 |
| Hampton, VA | $104.01 | $6.43 – $125.02 | 364,655 | 9 |
| Idaho Falls, ID | $117.95 | $0.00 – $214.70 | 364,872 | 47 |
| Brooklyn Park, MN | $13.83 | $11.00 – $139.81 | 369,545 | 7 |
| Madison, IN | $21.63 | $20.61 – $54.50 | 370,835 | 2 |
| West Monroe, LA | $166.42 | $0.00 – $176.87 | 371,350 | 12 |
| Onalaska, WI | $11.57 | $5.38 – $107.13 | 371,794 | 38 |
| Mcalester, OK | $66.52 | $0.00 – $225.95 | 376,232 | 99 |
| Prescott Valley, AZ | $72.67 | $0.00 – $232.60 | 376,398 | 20 |
| Norman, OK | $70.43 | $0.00 – $143.50 | 378,440 | 169 |
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.