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 |
|---|---|---|---|---|
| Auburn Hills, MI | $145.14 | $121.07 – $613.79 | 20,427 | 2 |
| Washington, NC | $159.11 | $57.71 – $159.85 | 20,384 | 3 |
| Sullivan, IL | $87.84 | $0.00 – $92.99 | 20,380 | 2 |
| Blanchard, OK | $66.87 | $25.03 – $72.09 | 20,334 | 4 |
| Mount Pleasant, UT | $38.85 | $38.85 – $38.85 | 20,328 | 1 |
| Niagara Falls, NY | $251.24 | $0.00 – $549.84 | 20,313 | 4 |
| Monaca, PA | $93.90 | $93.90 – $93.90 | 20,292 | 1 |
| Saint Johns, AZ | $65.05 | $58.33 – $110.05 | 20,279 | 2 |
| Maple Grove, MN | $135.43 | $85.55 – $438.49 | 20,239 | 6 |
| Buffalo, MN | $256.79 | $110.59 – $1,140 | 20,226 | 4 |
| Coachella, CA | $81.18 | $0.00 – $174.55 | 20,226 | 6 |
| Farmington, ME | $87.78 | $47.75 – $135.81 | 20,214 | 20 |
| Montgomery Village, MD | $68.56 | $0.00 – $68.82 | 20,210 | 3 |
| Westminster, CA | $74.93 | $0.75 – $81.50 | 20,082 | 9 |
| Evansville, WI | $10.91 | $10.91 – $10.91 | 20,067 | 1 |
| Spring Lake Park, MN | $55.42 | $13.42 – $88.86 | 20,033 | 2 |
| Danvers, MA | $406.43 | $31.56 – $896.84 | 20,029 | 4 |
| Celestine, IN | $126.24 | $126.24 – $126.24 | 19,971 | 1 |
| Funkstown, MD | $286.63 | $286.63 – $286.63 | 19,948 | 1 |
| Galesburg, IL | $75.63 | $60.53 – $88.11 | 19,944 | 5 |
| Romney, WV | $107.93 | $36.70 – $113.55 | 19,942 | 2 |
| Howe, OK | $66.81 | $62.96 – $68.79 | 19,860 | 5 |
| Fergus Falls, MN | $444.69 | $0.00 – $4,270 | 19,843 | 9 |
| Olean, NY | $58.01 | $55.09 – $102.70 | 19,789 | 2 |
| California, MD | $89.50 | $70.05 – $89.59 | 19,710 | 2 |
| Orono, ME | $79.22 | $62.36 – $103.79 | 19,686 | 11 |
| Columbia, TN | $108.67 | $14.89 – $282.59 | 19,674 | 5 |
| Covington, VA | $307.69 | $307.69 – $307.69 | 19,644 | 1 |
| Sandpoint, ID | $89.28 | $62.76 – $100.94 | 19,612 | 6 |
| Jessup, MD | $163.83 | $128.69 – $168.95 | 19,610 | 2 |
| Canton, MI | $127.61 | $127.61 – $127.61 | 19,561 | 1 |
| Soldotna, AK | $243.89 | $49.04 – $793.85 | 19,543 | 9 |
| Dover Foxcroft, ME | $85.13 | $68.48 – $112.85 | 19,365 | 11 |
| Iowa City, IA | $13.95 | $0.00 – $62.77 | 19,323 | 7 |
| Colville, WA | $1.47 | $0.00 – $106.05 | 19,282 | 32 |
| Naples, FL | $81.71 | $0.00 – $239.31 | 19,279 | 11 |
| Anna, IL | $65.22 | $54.02 – $89.96 | 19,206 | 5 |
| Delano, MN | $141.00 | $91.90 – $141.89 | 19,205 | 2 |
| Lake City, FL | $65.43 | $7.92 – $81.13 | 19,189 | 5 |
| International Falls, MN | $86.86 | $0.00 – $87.01 | 19,121 | 2 |
| Hot Springs, AR | $71.97 | $1.05 – $95.42 | 19,092 | 11 |
| Milford, MA | $52.62 | $40.99 – $62.70 | 19,030 | 4 |
| Ridgewood, NY | $2.56 | $0.00 – $19.10 | 19,022 | 5 |
| Mc Kee, KY | $42.65 | $34.28 – $91.12 | 18,998 | 2 |
| Vicksburg, MS | $27.90 | $0.00 – $31.31 | 18,969 | 5 |
| New Rochelle, NY | $223.69 | $0.00 – $229.91 | 18,952 | 4 |
| Livermore Falls, ME | $82.43 | $56.57 – $104.70 | 18,898 | 12 |
| Sikeston, MO | $31.74 | $25.62 – $38.02 | 18,843 | 2 |
| White Plains, MD | $59.88 | $59.79 – $62.41 | 18,833 | 2 |
| Sanford, ME | $107.56 | $41.95 – $212.73 | 18,754 | 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.