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 |
|---|---|---|---|---|
| Cannon Falls, MN | $1,013 | $1,013 – $1,013 | 8,591 | 1 |
| Russellville, AR | $71.62 | $0.00 – $96.64 | 8,578 | 13 |
| Osceola, AR | $98.69 | $97.52 – $102.55 | 8,562 | 2 |
| Benton, AR | $78.01 | $19.48 – $107.32 | 8,559 | 20 |
| Bellefontaine, OH | $166.40 | $29.07 – $170.64 | 8,543 | 4 |
| Mcdermott, OH | $67.01 | $25.51 – $155.99 | 8,537 | 5 |
| Hobart, IN | $118.09 | $118.09 – $118.09 | 8,509 | 1 |
| Dayton, VA | $7.02 | $7.02 – $7.02 | 8,509 | 1 |
| Waianae, HI | $27.08 | $0.00 – $77.36 | 8,500 | 5 |
| North Aurora, IL | $102.38 | $95.61 – $102.41 | 8,485 | 2 |
| Charleston, SC | $49.05 | $0.00 – $275.88 | 8,465 | 11 |
| Monterey, CA | $150.37 | $28.78 – $156.01 | 8,446 | 2 |
| Round Lake Park, IL | $93.46 | $93.46 – $93.46 | 8,418 | 1 |
| Williamsville, NY | $134.62 | $17.39 – $135.19 | 8,410 | 2 |
| Seaside, CA | $144.84 | $23.53 – $154.96 | 8,406 | 4 |
| Raton, NM | $128.28 | $14.80 – $148.34 | 8,402 | 4 |
| Kahuku, HI | $0.00 | $0.00 – $0.00 | 8,385 | 2 |
| Midvale, UT | $155.37 | $45.40 – $316.29 | 8,362 | 6 |
| Eagle Point, OR | $58.00 | $0.00 – $66.38 | 8,359 | 4 |
| Winthrop, ME | $75.80 | $63.39 – $82.31 | 8,336 | 4 |
| Barnegat, NJ | $111.12 | $111.12 – $111.12 | 8,329 | 1 |
| Newton Falls, OH | $138.47 | $27.82 – $147.00 | 8,320 | 6 |
| De Pere, WI | $12.41 | $0.00 – $28.54 | 8,315 | 3 |
| Laredo, TX | $21.09 | $12.36 – $90.46 | 8,307 | 3 |
| Cortland, OH | $124.56 | $26.77 – $126.77 | 8,292 | 3 |
| Mcloud, OK | $50.90 | $0.00 – $75.19 | 8,279 | 8 |
| Hickory Hills, IL | $76.20 | $31.86 – $98.54 | 8,269 | 3 |
| Englewood, OH | $151.11 | $103.51 – $176.10 | 8,266 | 4 |
| Needham, MA | $47.71 | $47.71 – $47.71 | 8,255 | 1 |
| Sauk Rapids, MN | $1,028 | $1,028 – $1,028 | 8,247 | 1 |
| Mc Arthur, OH | $50.43 | $24.93 – $58.40 | 8,235 | 6 |
| Manitowoc, WI | $13.85 | $4.85 – $29.44 | 8,232 | 7 |
| Lancaster, PA | $67.27 | $20.25 – $2,413 | 8,229 | 10 |
| Dripping Springs, TX | $61.58 | $61.58 – $61.58 | 8,223 | 1 |
| Rushville, IL | $78.78 | $78.78 – $78.78 | 8,163 | 1 |
| Newark, NY | $150.50 | $150.50 – $150.50 | 8,158 | 1 |
| Palm Desert, CA | $106.14 | $0.00 – $342.66 | 8,155 | 8 |
| Orofino, ID | $101.20 | $79.96 – $106.95 | 8,151 | 4 |
| Lebannon, OH | $154.30 | $154.30 – $154.30 | 8,134 | 1 |
| Kingsport, TN | $92.71 | $78.48 – $285.00 | 8,096 | 5 |
| Mission Viejo, CA | $129.00 | $0.00 – $150.54 | 8,095 | 7 |
| El Dorado, KS | $147.75 | $0.00 – $218.20 | 8,063 | 3 |
| Standish, ME | $81.67 | $63.27 – $145.76 | 8,062 | 4 |
| Woodstock, MN | $361.33 | $361.33 – $361.33 | 8,040 | 1 |
| Oak Lawn, IL | $67.40 | $0.00 – $106.53 | 8,032 | 4 |
| Waycross, GA | $57.27 | $29.02 – $76.95 | 8,000 | 2 |
| Damariscotta, ME | $70.97 | $46.52 – $92.23 | 7,974 | 9 |
| Kirkland, WA | $31.47 | $0.00 – $82.06 | 7,961 | 12 |
| Caldwell, OH | $224.11 | $21.54 – $284.30 | 7,953 | 5 |
| Valley Stream, NY | $2.94 | $0.11 – $56.20 | 7,942 | 3 |
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.