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 |
|---|---|---|---|---|
| Visalia, CA | $24.52 | $0.00 – $381.14 | 968,925 | 13 |
| Roseville, CA | $24.37 | $0.00 – $164.43 | 962,195 | 9 |
| Huntington, WV | $100.08 | $0.00 – $248.90 | 957,937 | 42 |
| Lexington, KY | $82.19 | $0.00 – $415.81 | 953,868 | 163 |
| Salt Lake City, UT | $66.10 | $0.00 – $2,345 | 929,403 | 54 |
| Hayward, CA | $25.69 | $17.75 – $478.62 | 925,921 | 6 |
| Jackson, MI | $20.71 | $0.00 – $1,114 | 923,639 | 9 |
| Newport News, VA | $48.32 | $0.00 – $431.18 | 920,799 | 14 |
| Harrison, NY | $37.27 | $22.84 – $50.98 | 919,042 | 5 |
| Scottsdale, AZ | $104.06 | $0.00 – $4,742 | 917,720 | 76 |
| Lynchburg, VA | $88.03 | $0.24 – $325.11 | 916,923 | 30 |
| Richmond, CA | $22.11 | $10.75 – $563.09 | 911,498 | 4 |
| Akron, OH | $74.21 | $0.00 – $954.28 | 890,491 | 423 |
| Holyoke, MA | $16.53 | $0.00 – $17.74 | 889,383 | 4 |
| Tempe, AZ | $139.26 | $0.00 – $4,187 | 878,354 | 93 |
| Fredericksburg, VA | $17.34 | $0.00 – $321.03 | 850,682 | 8 |
| Parkersburg, WV | $142.59 | $0.00 – $195.09 | 844,722 | 20 |
| Santa Maria, CA | $33.75 | $0.00 – $606.74 | 838,009 | 20 |
| Shreveport, LA | $60.26 | $0.00 – $132.35 | 834,185 | 59 |
| Glen Burnie, MD | $103.22 | $0.00 – $251.38 | 804,341 | 26 |
| Merrillville, IN | $47.16 | $16.71 – $448.18 | 798,378 | 6 |
| Green Bay, WI | $12.73 | $0.00 – $61.96 | 795,310 | 93 |
| West Allis, WI | $10.23 | $0.00 – $78.00 | 794,082 | 81 |
| Chico, CA | $26.89 | $0.00 – $278.46 | 792,751 | 8 |
| Palm Springs, CA | $23.88 | $0.00 – $313.67 | 792,659 | 13 |
| Rochester, NY | $66.55 | $10.87 – $235.76 | 788,422 | 44 |
| Galax, VA | $120.10 | $10.43 – $388.78 | 782,742 | 3 |
| Walled Lake, MI | $15.24 | $0.00 – $15.24 | 778,043 | 2 |
| Charlotte, NC | $85.15 | $7.45 – $360.94 | 764,341 | 58 |
| Acton, MA | $55.70 | $55.70 – $55.70 | 763,354 | 1 |
| Madison Heights, MI | $13.78 | $11.47 – $82.43 | 753,940 | 3 |
| Cedar Bluff, VA | $55.50 | $1.17 – $346.47 | 749,474 | 7 |
| Hesperia, CA | $22.28 | $0.00 – $134.96 | 748,133 | 27 |
| Long Beach, CA | $61.63 | $0.00 – $403.19 | 748,057 | 54 |
| Durham, NC | $122.82 | $0.00 – $400.67 | 746,211 | 35 |
| Ethel, LA | $110.94 | $110.94 – $110.94 | 743,572 | 1 |
| Hudson, NH | $11.06 | $11.04 – $107.61 | 740,300 | 5 |
| Modesto, CA | $58.76 | $0.00 – $309.91 | 737,923 | 24 |
| Staten Island, NY | $61.61 | $0.00 – $202.01 | 735,524 | 18 |
| Ironton, OH | $123.47 | $3.21 – $217.18 | 726,829 | 394 |
| Grove City, OH | $17.92 | $16.32 – $150.52 | 724,413 | 10 |
| Charleston, WV | $93.30 | $0.00 – $596.93 | 723,285 | 29 |
| Alexandria, LA | $15.79 | $0.24 – $101.36 | 711,120 | 23 |
| Winchester, VA | $15.29 | $0.71 – $212.04 | 704,284 | 19 |
| Santa Cruz, CA | $32.01 | $0.00 – $327.20 | 703,736 | 17 |
| Hagerstown, MD | $77.30 | $0.00 – $196.53 | 697,922 | 25 |
| Lancaster, CA | $40.93 | $0.00 – $305.59 | 692,221 | 17 |
| Breaux Bridge, LA | $8.96 | $1.63 – $295.64 | 686,675 | 5 |
| Murrieta, CA | $23.53 | $0.00 – $120.91 | 680,694 | 18 |
| Yonkers, NY | $44.97 | $0.00 – $124.40 | 677,991 | 12 |
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.