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 |
|---|---|---|---|---|
| Wake Forest, NC | $103.55 | $100.39 – $151.74 | 10,124 | 3 |
| Salem, VA | $380.95 | $171.40 – $381.37 | 10,111 | 2 |
| Gorham, ME | $88.58 | $44.20 – $187.99 | 10,109 | 18 |
| Lucerne, CA | $52.38 | $49.24 – $52.66 | 10,096 | 2 |
| Linton, ND | $379.85 | $379.85 – $379.85 | 10,077 | 1 |
| Norwalk, OH | $104.21 | $17.91 – $165.88 | 10,042 | 18 |
| Weslaco, TX | $7.54 | $6.78 – $8.88 | 9,997 | 2 |
| Beavercreek, OH | $79.43 | $26.24 – $184.02 | 9,984 | 7 |
| Hanover, NH | $41.86 | $33.42 – $95.40 | 9,974 | 3 |
| Sauk Centre, MN | $97.41 | $97.41 – $97.41 | 9,959 | 1 |
| Newton, NJ | $100.88 | $91.08 – $110.94 | 9,939 | 2 |
| Hillsboro, IL | $90.04 | $90.04 – $90.04 | 9,932 | 1 |
| Hackensack, NJ | $44.04 | $0.00 – $112.98 | 9,913 | 7 |
| West Point, MS | $29.27 | $29.27 – $29.27 | 9,910 | 1 |
| Wellston, OK | $70.95 | $70.95 – $70.95 | 9,902 | 1 |
| Kingsland, GA | $69.12 | $69.12 – $69.12 | 9,891 | 1 |
| Oregon, WI | $11.26 | $11.26 – $11.26 | 9,850 | 1 |
| Keller, WA | $5.84 | $5.84 – $5.84 | 9,845 | 1 |
| Derby, CT | $134.20 | $121.92 – $171.58 | 9,839 | 3 |
| Shelley, ID | $88.93 | $88.93 – $88.93 | 9,822 | 1 |
| Norfolk, NE | $54.44 | $34.52 – $108.86 | 9,746 | 8 |
| Leesburg, VA | $284.86 | $0.00 – $291.75 | 9,721 | 3 |
| Remus, MI | $34.48 | $34.48 – $34.48 | 9,676 | 1 |
| Lake George, MN | $46.76 | $46.76 – $46.76 | 9,656 | 1 |
| Fairlawn, OH | $246.03 | $14.50 – $316.32 | 9,649 | 11 |
| Colliers, WV | $0.00 | $0.00 – $0.00 | 9,625 | 1 |
| Hydro, OK | $68.34 | $68.34 – $68.34 | 9,622 | 1 |
| Jacksonville, IL | $78.68 | $72.25 – $99.46 | 9,572 | 5 |
| Old Orchard Beach, ME | $125.33 | $70.74 – $142.27 | 9,566 | 4 |
| Holbrook, AZ | $53.88 | $39.15 – $55.26 | 9,553 | 2 |
| East Saint Louis, IL | $105.33 | $51.02 – $119.65 | 9,519 | 3 |
| Kenai, AK | $214.56 | $51.51 – $728.78 | 9,515 | 12 |
| Prairieville, LA | $104.64 | $0.00 – $126.55 | 9,478 | 3 |
| Fair Lawn, NJ | $109.99 | $22.01 – $207.64 | 9,477 | 3 |
| Hartsville, SC | $84.34 | $23.46 – $94.50 | 9,459 | 3 |
| Newberg, OR | $68.42 | $0.00 – $552.86 | 9,425 | 15 |
| Escanaba, MI | $86.28 | $85.20 – $87.17 | 9,404 | 2 |
| Mexico, ME | $86.85 | $86.51 – $94.04 | 9,372 | 2 |
| Machias, ME | $80.89 | $56.16 – $122.03 | 9,371 | 8 |
| Newport, WA | $0.54 | $0.00 – $2.09 | 9,362 | 13 |
| Daly City, CA | $92.13 | $0.00 – $133.64 | 9,359 | 11 |
| Tulsa, Ok, OK | $68.83 | $68.83 – $68.83 | 9,355 | 1 |
| Smithfield, NC | $153.09 | $126.21 – $181.48 | 9,349 | 4 |
| Maysville, KY | $40.60 | $0.00 – $65.94 | 9,346 | 9 |
| Stanton, KY | $208.16 | $17.78 – $208.65 | 9,339 | 2 |
| Williams, AZ | $63.88 | $60.54 – $71.97 | 9,339 | 2 |
| Oak Harbor, WA | $63.45 | $0.00 – $109.45 | 9,334 | 11 |
| Hastings, MI | $132.26 | $0.00 – $132.51 | 9,322 | 2 |
| Pearland, TX | $71.05 | $0.00 – $71.80 | 9,315 | 3 |
| Villas, NJ | $109.74 | $108.82 – $109.94 | 9,312 | 2 |
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.