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 |
|---|---|---|---|---|
| Chester, PA | $366.01 | $366.01 – $366.01 | 49,862 | 1 |
| West Springfield, MA | $3.64 | $3.64 – $3.64 | 49,806 | 1 |
| Jackson, TN | $94.99 | $4.96 – $285.25 | 49,666 | 14 |
| Cambridge, MD | $79.23 | $48.42 – $122.68 | 49,646 | 8 |
| Hillsborough, NC | $53.33 | $49.84 – $120.31 | 49,572 | 2 |
| Caribou, ME | $72.53 | $0.00 – $110.95 | 49,359 | 29 |
| Franklin, IN | $322.02 | $322.02 – $322.02 | 49,286 | 1 |
| Sandusky, OH | $107.73 | $13.02 – $294.28 | 49,283 | 41 |
| East Orange, NJ | $101.32 | $0.00 – $110.69 | 48,801 | 7 |
| Kent, OH | $83.63 | $0.00 – $219.17 | 48,795 | 44 |
| Dunbar, WV | $90.53 | $52.50 – $124.54 | 48,693 | 3 |
| Snow Hill, MD | $71.83 | $69.39 – $71.83 | 48,597 | 2 |
| Manteno, IL | $58.28 | $44.16 – $120.63 | 48,494 | 9 |
| Chehalis, WA | $55.34 | $0.00 – $258.06 | 48,480 | 64 |
| Ypsilanti, MI | $143.56 | $0.00 – $230.34 | 48,445 | 5 |
| Wilburton, OK | $69.43 | $60.70 – $73.09 | 48,166 | 12 |
| Roundhill, KY | $64.64 | $64.64 – $64.64 | 48,165 | 1 |
| Richfield, MN | $421.70 | $92.67 – $1,951 | 47,979 | 3 |
| Franklin, KY | $72.54 | $65.17 – $73.77 | 47,940 | 2 |
| Sioux City, IA | $50.78 | $0.00 – $165.34 | 47,913 | 8 |
| Milford, OH | $93.93 | $0.00 – $239.94 | 47,809 | 35 |
| Alamosa, CO | $82.88 | $0.00 – $223.45 | 47,636 | 11 |
| Chesterfield, VA | $263.11 | $14.05 – $316.25 | 47,596 | 8 |
| Salmon, ID | $130.28 | $63.86 – $151.18 | 47,303 | 3 |
| Pikesville, MD | $267.96 | $71.28 – $289.08 | 47,297 | 12 |
| Takoma Park, MD | $68.23 | $0.00 – $79.53 | 47,123 | 4 |
| Jenks, OK | $49.49 | $36.17 – $74.85 | 47,116 | 9 |
| Merrillville Bra, IN | $63.69 | $63.69 – $63.69 | 46,980 | 1 |
| Brunswick, ME | $75.70 | $0.00 – $160.92 | 46,977 | 46 |
| Brick, NJ | $120.46 | $23.59 – $166.26 | 46,954 | 7 |
| Campton, KY | $19.08 | $9.75 – $31.21 | 46,855 | 3 |
| Vernon, AZ | $152.22 | $142.91 – $163.64 | 46,836 | 2 |
| Banning, CA | $102.13 | $0.00 – $269.93 | 46,609 | 8 |
| Ridgecrest, CA | $41.52 | $16.49 – $190.93 | 46,587 | 2 |
| Auburn, NY | $120.59 | $47.27 – $138.26 | 46,510 | 4 |
| Orange Park, FL | $62.77 | $0.00 – $64.87 | 46,459 | 6 |
| Stigler, OK | $62.55 | $38.68 – $73.34 | 46,386 | 22 |
| Pahrump, NV | $94.33 | $5.54 – $117.72 | 46,312 | 19 |
| Aspen, CO | $122.75 | $122.70 – $164.08 | 46,269 | 2 |
| Roxboro, NC | $138.16 | $4.75 – $148.77 | 46,169 | 5 |
| Socorro, NM | $126.23 | $26.48 – $128.56 | 45,831 | 4 |
| Canton, NY | $41.81 | $41.81 – $41.81 | 45,772 | 1 |
| Richmond Heights, OH | $33.52 | $33.49 – $97.62 | 45,737 | 2 |
| Pine City, MN | $381.02 | $45.64 – $1,548 | 45,706 | 5 |
| Astoria, NY | $35.78 | $0.00 – $187.91 | 45,614 | 18 |
| South St Paul, MN | $114.58 | $114.16 – $224.58 | 45,604 | 2 |
| Dalton, GA | $50.77 | $17.88 – $55.94 | 45,603 | 4 |
| Harlingen, TX | $69.36 | $69.28 – $83.55 | 45,442 | 2 |
| Montebello, CA | $79.81 | $0.00 – $85.92 | 45,362 | 6 |
| Southbridge, MA | $18.34 | $13.91 – $74.67 | 45,224 | 3 |
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.