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 |
|---|---|---|---|---|
| East New Market, MD | $228.83 | $228.83 – $228.83 | 78,499 | 1 |
| Hopkinsville, KY | $69.39 | $0.00 – $192.02 | 78,351 | 12 |
| Ocala, FL | $55.40 | $0.00 – $60.48 | 78,313 | 21 |
| Milford, MI | $63.78 | $63.78 – $63.78 | 78,060 | 1 |
| Midland, MI | $45.10 | $27.25 – $46.31 | 77,882 | 3 |
| Westport, MA | $13.72 | $13.72 – $13.72 | 77,800 | 1 |
| Carterville, IL | $84.58 | $62.25 – $84.75 | 77,634 | 4 |
| Hannibal, MO | $10.96 | $0.00 – $50.17 | 77,466 | 15 |
| New Castle, DE | $11.95 | $11.38 – $217.84 | 77,453 | 3 |
| Marysville, OH | $107.02 | $25.63 – $156.04 | 77,392 | 31 |
| Canaan, NY | $89.77 | $89.77 – $89.77 | 77,275 | 1 |
| Grand Ronde, OR | $37.83 | $37.37 – $64.04 | 76,901 | 2 |
| Victorville, CA | $76.74 | $0.00 – $166.62 | 76,799 | 31 |
| Upland, CA | $96.38 | $0.00 – $266.84 | 76,444 | 18 |
| Woodland Hills, CA | $79.06 | $0.00 – $79.16 | 76,436 | 3 |
| Coolidge, AZ | $182.48 | $76.08 – $226.41 | 76,251 | 3 |
| Munfordville, KY | $89.08 | $19.83 – $181.99 | 76,037 | 4 |
| Utica, NY | $126.39 | $22.84 – $435.46 | 76,020 | 6 |
| Cherry Hill, NJ | $65.14 | $0.00 – $121.50 | 75,664 | 12 |
| Athens, TN | $96.01 | $93.10 – $221.63 | 75,598 | 3 |
| Canterbury, NH | $177.92 | $160.29 – $177.96 | 75,563 | 2 |
| Norton, VA | $283.17 | $14.84 – $328.74 | 75,551 | 5 |
| Westerly, RI | $29.96 | $18.02 – $30.46 | 75,396 | 2 |
| Jefferson City, MO | $69.52 | $54.18 – $76.33 | 75,388 | 4 |
| Vandalia, OH | $161.74 | $19.14 – $207.12 | 75,292 | 17 |
| Manchester, CT | $22.33 | $0.00 – $171.29 | 74,962 | 18 |
| Morehead, KY | $37.05 | $31.38 – $183.68 | 74,496 | 6 |
| Midwest City, OK | $65.17 | $24.85 – $125.92 | 74,273 | 53 |
| Burlington, NC | $121.66 | $79.14 – $168.03 | 74,092 | 8 |
| Tarboro, NC | $217.91 | $22.05 – $220.50 | 74,004 | 4 |
| Doylestown, OH | $184.80 | $184.80 – $184.80 | 73,999 | 1 |
| Houston, TX | $48.26 | $0.00 – $462.59 | 73,940 | 37 |
| Maricopa, AZ | $92.11 | $31.93 – $2,289 | 73,873 | 10 |
| Novi, MI | $146.65 | $0.00 – $240.04 | 73,866 | 5 |
| Auburn, ME | $86.02 | $45.15 – $130.08 | 73,622 | 44 |
| Blue Ash, OH | $59.92 | $12.19 – $374.35 | 73,536 | 37 |
| Petersburg, VA | $287.23 | $0.00 – $350.21 | 73,000 | 12 |
| Northglenn, CO | $244.95 | $0.14 – $294.20 | 72,757 | 10 |
| Kensington, MD | $94.76 | $69.29 – $150.47 | 72,676 | 2 |
| Amityville, NY | $31.43 | $0.13 – $121.94 | 72,636 | 4 |
| Mason, OH | $68.00 | $0.00 – $182.15 | 72,009 | 39 |
| Provo, UT | $40.67 | $8.28 – $187.01 | 71,923 | 11 |
| Austintown, OH | $160.07 | $0.00 – $227.22 | 71,747 | 51 |
| Morgan City, LA | $135.98 | $10.98 – $218.28 | 71,657 | 7 |
| Gainesville, FL | $65.28 | $0.00 – $158.09 | 71,464 | 25 |
| West Plains, MO | $102.45 | $11.99 – $131.79 | 71,105 | 4 |
| Logan, WV | $135.40 | $0.00 – $155.85 | 71,029 | 7 |
| La Grande, OR | $32.47 | $0.00 – $58.89 | 70,785 | 30 |
| Carbondale, IL | $80.03 | $61.58 – $137.62 | 70,778 | 6 |
| Bovey, MN | $170.77 | $170.77 – $170.77 | 70,708 | 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.