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 |
|---|---|---|---|---|
| Ivel, KY | $37.08 | $36.08 – $37.08 | 14,586 | 2 |
| Washington, NJ | $47.17 | $45.85 – $109.48 | 14,543 | 3 |
| Washington Court House, OH | $89.87 | $0.00 – $192.00 | 14,538 | 19 |
| Caddo, OK | $42.82 | $42.82 – $42.82 | 14,484 | 1 |
| Ny, NY | $55.57 | $55.57 – $55.57 | 14,391 | 1 |
| Eaton, OH | $78.32 | $20.99 – $131.34 | 14,323 | 16 |
| White Cloud, MI | $186.05 | $4.17 – $282.74 | 14,287 | 2 |
| Hutchinson, MN | $145.83 | $59.50 – $764.73 | 14,237 | 6 |
| East Hartford, CT | $248.49 | $0.00 – $429.60 | 14,215 | 8 |
| Breckinridge Hills, MO | $68.22 | $68.22 – $68.22 | 14,172 | 1 |
| Salem, MA | $28.73 | $0.00 – $29.83 | 14,168 | 2 |
| Greenbelt, MD | $141.45 | $63.22 – $159.53 | 14,166 | 6 |
| Texarkana, AR | $43.82 | $31.46 – $69.24 | 14,157 | 3 |
| Owatonna, MN | $161.67 | $68.35 – $227.72 | 14,140 | 3 |
| Henrico, VA | $175.66 | $0.54 – $195.21 | 14,100 | 7 |
| La Quinta, CA | $70.08 | $0.00 – $289.48 | 14,074 | 7 |
| Burien, WA | $0.19 | $0.00 – $1.24 | 14,059 | 30 |
| Hampden, ME | $67.85 | $0.00 – $79.72 | 14,041 | 7 |
| Hoffman Estates, IL | $103.52 | $45.57 – $109.07 | 13,965 | 2 |
| Ione, CA | $38.15 | $38.15 – $38.15 | 13,952 | 1 |
| Granite Falls, MN | $1,972 | $1,972 – $1,972 | 13,948 | 1 |
| Sentinel Butte, ND | $43.72 | $28.91 – $79.56 | 13,927 | 10 |
| Blue Island, IL | $44.81 | $44.24 – $136.37 | 13,915 | 2 |
| Poplar Bluff, MO | $96.20 | $0.00 – $96.32 | 13,865 | 2 |
| Brown Deer, WI | $57.93 | $10.80 – $92.84 | 13,844 | 13 |
| Caledonia, WI | $8.81 | $8.81 – $8.81 | 13,820 | 1 |
| Bladenboro, NC | $155.33 | $155.33 – $155.33 | 13,803 | 1 |
| Rigby, ID | $100.53 | $100.53 – $100.53 | 13,768 | 1 |
| Greenwood, SC | $77.95 | $18.97 – $101.32 | 13,754 | 8 |
| Rathdrum, ID | $101.15 | $0.00 – $101.67 | 13,702 | 3 |
| Mount Airy, NC | $95.91 | $22.22 – $126.35 | 13,686 | 3 |
| Lac Du Flambeau, WI | $18.01 | $9.46 – $54.65 | 13,652 | 8 |
| Bath, NY | $37.38 | $1.00 – $83.05 | 13,592 | 9 |
| Rio Grande, NJ | $111.57 | $111.57 – $111.57 | 13,569 | 1 |
| Holland, MI | $126.90 | $109.14 – $194.94 | 13,552 | 3 |
| Garden Grove, CA | $80.14 | $0.00 – $207.17 | 13,544 | 13 |
| Little Falls, MN | $80.50 | $71.94 – $162.73 | 13,537 | 4 |
| Keene, NH | $227.04 | $6.98 – $286.59 | 13,518 | 10 |
| Alvordton, OH | $186.40 | $31.10 – $203.00 | 13,515 | 3 |
| Carthage, IL | $66.92 | $66.92 – $66.92 | 13,485 | 1 |
| Lake Oswego, OR | $57.52 | $0.00 – $178.52 | 13,477 | 26 |
| Fitchburg, WI | $12.94 | $7.21 – $80.40 | 13,466 | 10 |
| Tyrone, PA | $8.80 | $8.80 – $8.80 | 13,452 | 1 |
| Shedd, OR | $34.45 | $34.45 – $34.45 | 13,433 | 1 |
| Laconia, NH | $116.40 | $0.00 – $296.18 | 13,423 | 12 |
| New Boston, OH | $130.68 | $48.07 – $193.09 | 13,417 | 9 |
| Hiawatha, KS | $25.80 | $0.00 – $25.93 | 13,372 | 2 |
| Charlotte, MI | $124.40 | $8.28 – $129.60 | 13,349 | 4 |
| Oxford, NC | $147.32 | $143.22 – $263.48 | 13,288 | 2 |
| Wayland, KY | $389.00 | $389.00 – $389.00 | 13,276 | 1 |
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.