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 |
|---|---|---|---|---|
| Queensbury, NY | $57.73 | $57.73 – $57.73 | 37,119 | 1 |
| Owasso, OK | $64.44 | $0.00 – $71.52 | 37,118 | 23 |
| Lake Villa, IL | $67.93 | $49.54 – $82.32 | 37,090 | 4 |
| Northridge, CA | $81.81 | $0.00 – $82.12 | 37,085 | 2 |
| Crystal, MN | $92.42 | $92.42 – $92.42 | 37,058 | 1 |
| Newhall, CA | $16.08 | $0.00 – $16.38 | 37,047 | 2 |
| Passaic, NJ | $88.54 | $0.00 – $110.43 | 36,889 | 7 |
| Paynesville, MN | $96.85 | $69.28 – $99.52 | 36,817 | 2 |
| West Hollywood, CA | $85.34 | $0.00 – $88.21 | 36,631 | 5 |
| Evanston, IL | $79.83 | $17.90 – $110.16 | 36,611 | 7 |
| Lafayette, IN | $257.79 | $1.49 – $334.10 | 36,572 | 6 |
| Duncan, OK | $64.45 | $24.79 – $71.36 | 36,272 | 23 |
| Marquette, MI | $122.35 | $20.28 – $393.19 | 36,233 | 7 |
| Red Bank, NJ | $13.87 | $0.00 – $634.22 | 36,152 | 6 |
| Pewaukee, WI | $6.68 | $5.55 – $35.53 | 36,067 | 4 |
| Piketon, OH | $93.89 | $18.93 – $182.81 | 36,030 | 32 |
| North Charleston, SC | $76.57 | $68.83 – $96.37 | 36,021 | 3 |
| Surprise, AZ | $256.25 | $0.00 – $3,128 | 36,008 | 14 |
| Florence, SC | $71.91 | $11.92 – $101.37 | 35,955 | 18 |
| Turnersville, NJ | $92.98 | $19.39 – $112.05 | 35,873 | 13 |
| White Earth, MN | $494.54 | $387.30 – $495.80 | 35,863 | 2 |
| Tupelo, MS | $28.35 | $28.35 – $30.68 | 35,747 | 2 |
| Corona, NY | $2.87 | $0.00 – $60.16 | 35,737 | 22 |
| West Portsmouth, OH | $63.21 | $1.37 – $171.52 | 35,736 | 26 |
| El Reno, OK | $59.84 | $0.00 – $72.40 | 35,672 | 29 |
| Newton, KS | $69.73 | $0.00 – $74.04 | 35,609 | 4 |
| Jurupa Valley, CA | $9.67 | $0.00 – $327.02 | 35,516 | 6 |
| Yerington, NV | $64.84 | $0.00 – $117.41 | 35,498 | 4 |
| Canton, IL | $88.57 | $58.55 – $90.23 | 35,458 | 2 |
| Harper Woods, MI | $87.60 | $87.60 – $87.60 | 35,449 | 1 |
| North Providence, RI | $12.43 | $11.48 – $16.78 | 35,376 | 2 |
| Centerville, OH | $125.64 | $22.45 – $364.52 | 35,317 | 11 |
| Cedar Rapids, IA | $29.24 | $0.00 – $291.19 | 35,244 | 14 |
| Addison, IL | $90.74 | $53.70 – $98.76 | 35,194 | 2 |
| Carrboro, NC | $139.47 | $121.73 – $167.50 | 35,183 | 2 |
| Rock Island, IL | $90.61 | $4.56 – $103.47 | 35,159 | 6 |
| Williamstown, NJ | $410.34 | $17.61 – $411.90 | 35,076 | 2 |
| Taos, NM | $155.85 | $4.54 – $275.28 | 35,052 | 12 |
| Detroit Lakes, MN | $124.25 | $76.76 – $738.77 | 35,028 | 5 |
| Seymour, TN | $277.60 | $266.26 – $278.20 | 35,017 | 2 |
| Raeford, NC | $184.12 | $86.63 – $191.96 | 35,014 | 5 |
| Decatur, AL | $53.08 | $0.00 – $66.98 | 34,918 | 7 |
| Topeka, KS | $62.59 | $0.00 – $99.71 | 34,805 | 9 |
| Filer, ID | $49.54 | $49.54 – $49.54 | 34,705 | 1 |
| Cross Lanes, WV | $262.87 | $46.80 – $263.46 | 34,664 | 2 |
| Compton, CA | $102.19 | $0.00 – $295.69 | 34,619 | 7 |
| Houlton, ME | $81.62 | $45.98 – $113.67 | 34,558 | 19 |
| Winfield, WV | $134.99 | $134.99 – $134.99 | 34,501 | 1 |
| East Liverpool, OH | $198.41 | $20.82 – $249.57 | 34,495 | 15 |
| Comfort, WV | $216.89 | $216.89 – $216.89 | 34,470 | 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.