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 |
|---|---|---|---|---|
| Elkridge, MD | $78.13 | $67.68 – $156.87 | 18,748 | 3 |
| Carmi, IL | $82.59 | $49.97 – $84.19 | 18,692 | 2 |
| Thomasville, GA | $51.41 | $37.96 – $51.44 | 18,691 | 2 |
| Pawhuska, OK | $126.71 | $0.00 – $654.00 | 18,681 | 13 |
| Sault Sainte Marie, MI | $150.77 | $22.74 – $222.43 | 18,640 | 3 |
| Harrisburg, PA | $127.63 | $13.18 – $130.35 | 18,602 | 2 |
| Lewisburg, WV | $0.89 | $0.89 – $0.89 | 18,582 | 1 |
| Groveport, OH | $113.65 | $24.34 – $271.68 | 18,571 | 21 |
| Tiffin, OH | $107.87 | $19.04 – $228.63 | 18,523 | 13 |
| Manhattan, KS | $70.13 | $0.00 – $94.09 | 18,497 | 4 |
| Anniston, AL | $52.24 | $52.24 – $52.24 | 18,472 | 1 |
| Pepper Pike, OH | $141.91 | $58.13 – $198.62 | 18,454 | 7 |
| Kearny, NJ | $136.19 | $0.12 – $335.50 | 18,421 | 3 |
| West Des Moines, IA | $34.27 | $0.00 – $87.37 | 18,386 | 6 |
| Garfield Heights, OH | $86.16 | $17.30 – $218.44 | 18,385 | 23 |
| New Concord, OH | $258.52 | $258.52 – $258.52 | 18,385 | 1 |
| Tallahassee, FL | $50.58 | $0.00 – $63.38 | 18,323 | 18 |
| Washington, OK | $70.91 | $69.83 – $71.87 | 18,268 | 2 |
| Apple Valley, CA | $0.61 | $0.00 – $3.35 | 18,207 | 23 |
| Grayson, KY | $170.79 | $169.49 – $172.92 | 18,163 | 2 |
| South Ozone Park, NY | $8.31 | $0.64 – $30.58 | 18,103 | 4 |
| Morrisonville, NY | $81.87 | $81.87 – $81.87 | 18,083 | 1 |
| Flemington, NJ | $106.32 | $105.11 – $157.94 | 18,030 | 4 |
| Bridgeton, NJ | $80.66 | $31.99 – $109.48 | 18,029 | 3 |
| Bixby, OK | $63.01 | $52.75 – $69.89 | 18,028 | 7 |
| La Crosse, WI | $30.82 | $0.00 – $50.35 | 18,016 | 13 |
| Greenville, MI | $44.48 | $1.15 – $119.30 | 17,974 | 4 |
| Rush, KY | $67.87 | $9.55 – $71.85 | 17,963 | 4 |
| Alpharetta, GA | $78.27 | $70.03 – $78.42 | 17,913 | 2 |
| Pulaski, TN | $88.40 | $88.40 – $88.40 | 17,887 | 1 |
| Wynantskill, NY | $96.35 | $96.35 – $96.35 | 17,874 | 1 |
| Boyne Falls, MI | $459.25 | $322.11 – $626.02 | 17,854 | 2 |
| Snowflake, AZ | $58.39 | $0.00 – $58.59 | 17,850 | 2 |
| Mc Dermott, OH | $107.03 | $20.91 – $147.83 | 17,837 | 10 |
| Gardnerville, NV | $124.34 | $27.97 – $128.98 | 17,709 | 4 |
| Hallowell, ME | $72.43 | $50.62 – $92.21 | 17,693 | 13 |
| Crookston, MN | $90.76 | $63.50 – $126.94 | 17,678 | 8 |
| Bohemia, NY | $211.70 | $0.00 – $293.06 | 17,583 | 3 |
| Cairo, GA | $61.69 | $61.69 – $61.69 | 17,566 | 1 |
| Hindman, KY | $70.90 | $70.90 – $70.90 | 17,550 | 1 |
| Paragould, AR | $93.71 | $70.82 – $107.38 | 17,493 | 8 |
| Warrensville Heights, OH | $83.83 | $31.82 – $144.98 | 17,442 | 13 |
| Ajo, AZ | $123.00 | $0.14 – $213.11 | 17,425 | 2 |
| Montclair, NJ | $107.65 | $29.32 – $114.93 | 17,405 | 3 |
| Plymouth, MN | $220.47 | $66.80 – $348.14 | 17,381 | 5 |
| Metropolis, IL | $102.93 | $64.65 – $103.17 | 17,307 | 2 |
| Clinton Twp, MI | $209.39 | $209.39 – $209.39 | 17,267 | 1 |
| Bellflower, CA | $91.88 | $0.00 – $375.73 | 17,266 | 7 |
| Alexandria, VA | $200.33 | $0.00 – $202.81 | 17,256 | 6 |
| Paintsville, KY | $40.64 | $20.08 – $107.52 | 17,219 | 6 |
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.