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 |
|---|---|---|---|---|
| Manchester, KY | $13.75 | $2.52 – $150.73 | 24,274 | 11 |
| Grove, OK | $105.28 | $0.00 – $658.71 | 24,236 | 29 |
| Greenfield, OH | $133.95 | $23.27 – $198.70 | 24,172 | 11 |
| Blythe, CA | $88.33 | $0.00 – $232.24 | 24,164 | 3 |
| Sunset, LA | $77.46 | $61.52 – $77.67 | 24,069 | 2 |
| Norwalk, CT | $99.31 | $0.00 – $167.49 | 23,983 | 9 |
| Lockport, NY | $188.27 | $3.46 – $747.81 | 23,973 | 3 |
| Scarborough, ME | $83.86 | $56.84 – $115.64 | 23,907 | 26 |
| Brighton, MI | $80.40 | $0.00 – $80.51 | 23,890 | 3 |
| Lebanon, KY | $193.41 | $24.00 – $216.54 | 23,870 | 4 |
| Tumwater, WA | $28.78 | $0.00 – $160.77 | 23,853 | 23 |
| Pittsburg, CA | $112.96 | $0.00 – $227.46 | 23,812 | 8 |
| College Park, MD | $96.72 | $74.20 – $127.58 | 23,777 | 3 |
| Williamsburg, PA | $209.01 | $209.01 – $209.01 | 23,771 | 1 |
| Newport, TN | $112.06 | $105.75 – $253.86 | 23,759 | 4 |
| Howell, MI | $144.54 | $59.09 – $314.98 | 23,689 | 2 |
| Lombard, IL | $96.43 | $93.89 – $96.43 | 23,665 | 2 |
| Falmouth, MA | $93.43 | $61.31 – $93.49 | 23,655 | 2 |
| Southlake, TX | $19.50 | $0.00 – $19.86 | 23,640 | 2 |
| Cary, NC | $11.69 | $9.06 – $64.55 | 23,531 | 3 |
| Revere, MA | $11.13 | $9.96 – $79.50 | 23,514 | 3 |
| Hillsboro, OH | $95.34 | $0.00 – $202.23 | 23,504 | 17 |
| Bridgeport, WV | $92.20 | $92.20 – $92.20 | 23,448 | 1 |
| Burbank, CA | $73.97 | $73.97 – $73.97 | 23,404 | 1 |
| Gallup, NM | $10.43 | $8.24 – $96.81 | 23,392 | 4 |
| Defiance, OH | $115.76 | $40.18 – $201.67 | 23,372 | 31 |
| Chickasha, OK | $57.31 | $0.00 – $73.23 | 23,353 | 30 |
| Emporia, KS | $51.12 | $0.00 – $86.17 | 23,335 | 4 |
| Saint Albans, VT | $500.80 | $0.00 – $688.00 | 23,289 | 15 |
| Dumfries, VA | $454.61 | $454.61 – $454.61 | 23,205 | 1 |
| Waynesville, NC | $82.33 | $27.37 – $136.07 | 23,145 | 3 |
| Thatcher, AZ | $106.51 | $106.51 – $106.51 | 23,044 | 1 |
| Towson, MD | $141.69 | $0.00 – $253.18 | 23,030 | 22 |
| Eufaula, OK | $67.37 | $47.88 – $71.44 | 23,009 | 7 |
| Halethorpe, MD | $196.78 | $103.53 – $204.01 | 22,996 | 3 |
| Riverton, UT | $17.83 | $15.78 – $35.49 | 22,988 | 2 |
| Shakopee, MN | $95.46 | $83.84 – $133.49 | 22,933 | 5 |
| Greensburg, KY | $194.61 | $16.00 – $255.94 | 22,926 | 7 |
| Rapid City, SD | $106.25 | $78.14 – $303.51 | 22,912 | 9 |
| Salyersville, KY | $29.45 | $5.88 – $75.56 | 22,860 | 5 |
| Green Valley, AZ | $24.05 | $0.01 – $50.20 | 22,798 | 4 |
| Spencer, OK | $69.13 | $24.83 – $72.24 | 22,735 | 8 |
| Paris, IL | $74.57 | $61.62 – $74.82 | 22,671 | 2 |
| Hanford, CA | $47.48 | $3.76 – $441.51 | 22,556 | 7 |
| Woodburn, OR | $59.59 | $3.34 – $175.02 | 22,508 | 17 |
| White Plains, NY | $99.19 | $0.00 – $110.99 | 22,483 | 7 |
| South Holland, IL | $85.17 | $52.45 – $100.84 | 22,455 | 5 |
| Cookeville, TN | $101.97 | $0.00 – $282.25 | 22,402 | 10 |
| Gainesville, GA | $60.72 | $37.84 – $88.44 | 22,391 | 3 |
| Burton, OH | $60.27 | $30.18 – $168.19 | 22,373 | 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.