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 |
|---|---|---|---|---|
| Santa Clarita, CA | $89.00 | $65.38 – $135.53 | 34,460 | 4 |
| Easthampton, MA | $56.81 | $56.81 – $56.81 | 34,255 | 1 |
| Blauvelt, NY | $117.34 | $115.49 – $129.49 | 34,243 | 2 |
| Worthington Hills, KY | $117.94 | $117.94 – $117.94 | 34,232 | 1 |
| Melrose, MA | $13.96 | $12.89 – $79.46 | 34,215 | 2 |
| West Palm Beach, FL | $50.23 | $0.00 – $86.70 | 34,120 | 23 |
| Rolla, MO | $0.11 | $0.00 – $68.29 | 34,018 | 2 |
| Lincoln, ME | $88.29 | $67.69 – $103.67 | 33,965 | 11 |
| Miami, FL | $32.48 | $0.00 – $131.19 | 33,898 | 40 |
| Farmingville, NY | $42.74 | $26.78 – $42.80 | 33,852 | 2 |
| Paris, KY | $181.21 | $0.00 – $186.00 | 33,821 | 6 |
| Red Bud, IL | $94.00 | $54.64 – $95.98 | 33,766 | 2 |
| Aliquippa, PA | $136.60 | $122.53 – $286.26 | 33,754 | 2 |
| Pocomoke City, MD | $75.15 | $66.11 – $75.18 | 33,681 | 2 |
| Benson, AZ | $110.87 | $0.00 – $167.67 | 33,666 | 6 |
| Suitland, MD | $90.22 | $0.00 – $154.26 | 33,643 | 7 |
| Martinsville, IN | $421.08 | $223.40 – $432.41 | 33,560 | 2 |
| Rialto, CA | $27.34 | $0.00 – $71.64 | 33,551 | 24 |
| Pierce City, MO | $0.00 | $0.00 – $0.00 | 33,510 | 2 |
| Bailey, CO | $84.26 | $84.26 – $84.26 | 33,449 | 1 |
| Saint Petersburg, FL | $56.99 | $0.00 – $66.93 | 33,420 | 6 |
| Clarksville, TN | $98.69 | $23.15 – $279.60 | 33,401 | 8 |
| Stilwell, OK | $67.94 | $36.61 – $262.77 | 33,389 | 14 |
| Jonesboro, AR | $90.14 | $0.00 – $109.03 | 33,256 | 10 |
| Gadsden, AL | $109.11 | $109.11 – $109.11 | 33,196 | 1 |
| Columbus, GA | $27.77 | $17.14 – $98.30 | 33,092 | 3 |
| Owosso, MI | $104.95 | $14.00 – $283.83 | 33,069 | 4 |
| Kankakee, IL | $89.31 | $61.60 – $134.13 | 33,002 | 9 |
| Ahoskie, NC | $49.53 | $28.68 – $119.26 | 32,859 | 3 |
| Sand Springs, OK | $64.71 | $4.57 – $71.56 | 32,702 | 12 |
| Okmulgee, OK | $81.45 | $0.00 – $654.00 | 32,687 | 25 |
| Petoskey, MI | $97.47 | $97.47 – $97.47 | 32,683 | 1 |
| Dyersburg, TN | $106.58 | $106.58 – $106.58 | 32,661 | 1 |
| Kissimmee, FL | $36.29 | $0.00 – $65.23 | 32,635 | 26 |
| Keizer, OR | $71.67 | $0.00 – $766.13 | 32,554 | 19 |
| Sylva, NC | $231.01 | $42.33 – $693.41 | 32,504 | 3 |
| Bowling Green, OH | $152.06 | $19.20 – $206.45 | 32,486 | 30 |
| Bristol, RI | $139.31 | $43.09 – $143.64 | 32,405 | 3 |
| Deer Park, NY | $83.35 | $83.35 – $83.35 | 32,332 | 1 |
| Fontana, CA | $0.93 | $0.00 – $14.18 | 32,309 | 45 |
| Colchester, VT | $391.42 | $391.42 – $391.42 | 32,308 | 1 |
| Harrison, OH | $103.40 | $24.22 – $138.43 | 32,308 | 9 |
| Bemidji, MN | $247.81 | $0.00 – $6,608 | 32,307 | 28 |
| Coshocton, OH | $95.19 | $20.24 – $147.42 | 32,274 | 29 |
| Clarksville, VA | $339.92 | $5.00 – $341.03 | 32,171 | 2 |
| Greenup, KY | $103.79 | $24.34 – $162.89 | 32,122 | 4 |
| Ashland, OR | $41.87 | $0.00 – $214.79 | 32,101 | 19 |
| Danville, IL | $82.71 | $29.76 – $102.70 | 32,030 | 6 |
| Princeton, NJ | $81.36 | $13.97 – $109.48 | 31,896 | 7 |
| Barberton, OH | $71.25 | $7.78 – $119.70 | 31,858 | 18 |
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.