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 |
|---|---|---|---|---|
| Lincolnton, NC | $95.22 | $0.00 – $136.74 | 15,771 | 4 |
| Clayton, NJ | $112.32 | $112.32 – $112.32 | 15,751 | 1 |
| Niles, OH | $95.06 | $21.26 – $197.84 | 15,749 | 22 |
| Batesville, AR | $78.17 | $67.66 – $82.56 | 15,735 | 5 |
| Portsmouth, NH | $69.59 | $12.33 – $120.31 | 15,680 | 14 |
| Fort Washington, MD | $144.18 | $1.46 – $146.20 | 15,605 | 4 |
| Rome, GA | $55.37 | $55.37 – $55.37 | 15,592 | 1 |
| Fort Morgan, CO | $167.35 | $6.98 – $186.46 | 15,553 | 5 |
| Palmetto, FL | $62.64 | $62.64 – $62.64 | 15,524 | 1 |
| Brazil, IN | $98.36 | $36.19 – $99.34 | 15,502 | 2 |
| Castle Rock, CO | $3.50 | $0.00 – $65.45 | 15,466 | 6 |
| Perham, MN | $151.67 | $151.49 – $151.69 | 15,443 | 2 |
| Montgomery, MN | $77.32 | $72.02 – $89.16 | 15,429 | 2 |
| Waterloo, IL | $80.24 | $80.24 – $80.24 | 15,371 | 1 |
| Tarpon Springs, FL | $63.27 | $63.27 – $63.27 | 15,369 | 1 |
| Baraboo, WI | $12.84 | $0.00 – $242.11 | 15,365 | 6 |
| Frederick, OK | $60.64 | $0.00 – $67.25 | 15,342 | 7 |
| Brigham City, UT | $47.88 | $47.87 – $59.56 | 15,315 | 2 |
| St Johnsbury, VT | $42.75 | $0.00 – $105.71 | 15,289 | 9 |
| Daytona Beach, FL | $55.02 | $1.36 – $62.23 | 15,289 | 9 |
| Madison, AL | $96.32 | $0.00 – $99.77 | 15,258 | 3 |
| New Iberia, LA | $64.15 | $24.07 – $71.10 | 15,253 | 3 |
| Oxford, ME | $73.21 | $58.03 – $87.55 | 15,239 | 9 |
| Belvidere, IL | $90.62 | $68.76 – $90.75 | 15,223 | 2 |
| Le Mars, IA | $0.01 | $0.01 – $0.01 | 15,221 | 1 |
| Ozone Park, NY | $9.34 | $0.00 – $40.91 | 15,217 | 15 |
| Bristol, TN | $19.54 | $19.14 – $47.41 | 15,192 | 2 |
| Maitland, FL | $50.90 | $50.87 – $68.06 | 15,170 | 2 |
| Fallon, NV | $2.08 | $0.00 – $59.89 | 15,134 | 6 |
| Moses Lake, WA | $3.50 | $0.00 – $37.40 | 15,132 | 29 |
| Oak Park Heights, MN | $109.22 | $108.36 – $111.09 | 15,106 | 2 |
| Brandon, MS | $29.50 | $28.33 – $29.60 | 15,097 | 2 |
| Calera, AL | $46.98 | $46.98 – $46.98 | 15,088 | 1 |
| Mt. Orab, OH | $99.16 | $0.00 – $106.91 | 15,079 | 2 |
| Alma, MI | $104.21 | $104.21 – $104.21 | 15,044 | 1 |
| Livingston, MT | $82.45 | $82.45 – $82.45 | 15,019 | 1 |
| Glens Falls, NY | $39.14 | $0.00 – $50.28 | 15,001 | 8 |
| Urbana, IL | $65.75 | $46.56 – $76.53 | 14,980 | 4 |
| Parsons, TN | $76.98 | $76.98 – $76.98 | 14,939 | 1 |
| Norcross, GA | $16.71 | $6.65 – $16.95 | 14,896 | 2 |
| Conway, NH | $87.34 | $57.86 – $121.30 | 14,846 | 5 |
| Bristol, VA | $43.61 | $8.66 – $217.77 | 14,826 | 9 |
| Pine Brook, NJ | $109.99 | $109.99 – $109.99 | 14,773 | 1 |
| New London, MO | $48.49 | $0.00 – $49.00 | 14,736 | 2 |
| Lexington, VA | $331.46 | $199.55 – $331.93 | 14,665 | 2 |
| Placerville, CA | $83.57 | $0.00 – $115.39 | 14,663 | 5 |
| Libertyville, IL | $90.75 | $90.75 – $90.75 | 14,636 | 1 |
| Eatontown, NJ | $110.82 | $110.77 – $114.92 | 14,619 | 2 |
| Centreville, MI | $49.94 | $49.94 – $49.94 | 14,608 | 1 |
| Haverhill, MA | $61.53 | $20.10 – $138.24 | 14,596 | 10 |
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.