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 |
|---|---|---|---|---|
| Corning, NY | $105.94 | $93.39 – $137.26 | 7,940 | 2 |
| Westchester, IL | $81.84 | $62.00 – $84.44 | 7,937 | 2 |
| Pineville, KY | $49.63 | $49.63 – $49.63 | 7,902 | 1 |
| Lake Providence, LA | $26.97 | $5.26 – $33.21 | 7,880 | 2 |
| League City, TX | $72.99 | $68.04 – $78.57 | 7,859 | 3 |
| Lackawanna, NY | $84.97 | $11.09 – $89.87 | 7,844 | 2 |
| Pembroke Pines, FL | $104.66 | $0.00 – $178.32 | 7,839 | 5 |
| Bucksport, ME | $95.13 | $51.52 – $112.59 | 7,805 | 8 |
| West Hartford, CT | $108.94 | $0.00 – $133.76 | 7,804 | 6 |
| Eakly, OK | $69.60 | $69.60 – $69.60 | 7,798 | 1 |
| Olney, IL | $86.22 | $46.96 – $97.16 | 7,786 | 5 |
| Redlake, MN | $2,012 | $461.44 – $10,442 | 7,746 | 2 |
| Westampton, NJ | $86.70 | $21.90 – $109.37 | 7,726 | 4 |
| Lebanon, NH | $81.06 | $0.00 – $128.28 | 7,723 | 8 |
| West Columbia, SC | $81.15 | $20.73 – $102.04 | 7,719 | 4 |
| Romeoville, IL | $246.42 | $120.10 – $249.87 | 7,704 | 2 |
| Makawao, HI | $25.73 | $0.00 – $175.19 | 7,662 | 3 |
| Yuba City, CA | $99.78 | $97.64 – $293.33 | 7,661 | 3 |
| Springerville, AZ | $46.19 | $46.19 – $46.19 | 7,658 | 1 |
| Devils Lake, ND | $262.08 | $37.63 – $596.78 | 7,653 | 16 |
| Pauls Valley, OK | $51.63 | $0.00 – $65.29 | 7,651 | 12 |
| Glastonbury, CT | $123.98 | $13.95 – $142.59 | 7,648 | 5 |
| Mc Kenzie, TN | $191.87 | $190.03 – $294.10 | 7,636 | 4 |
| Trumann, AR | $95.28 | $77.33 – $98.85 | 7,633 | 3 |
| Elgin, OK | $70.83 | $51.50 – $71.05 | 7,608 | 3 |
| Pittsburg, KS | $53.73 | $0.00 – $70.23 | 7,594 | 5 |
| Beggs, OK | $65.42 | $65.42 – $65.42 | 7,573 | 1 |
| Delray Beach, FL | $30.48 | $0.00 – $116.16 | 7,569 | 4 |
| Searcy, AR | $89.47 | $85.94 – $90.45 | 7,566 | 2 |
| Beach, ND | $42.21 | $40.83 – $49.65 | 7,556 | 2 |
| Morrisville, VT | $326.64 | $3.43 – $805.44 | 7,549 | 9 |
| Plant City, FL | $66.52 | $0.00 – $106.99 | 7,535 | 4 |
| Iron Mountain, MI | $76.14 | $72.90 – $248.00 | 7,527 | 2 |
| West Linn, OR | $63.61 | $27.05 – $126.69 | 7,466 | 4 |
| Big Stone Gap, VA | $25.99 | $22.20 – $43.53 | 7,464 | 5 |
| Falmouth, ME | $84.65 | $71.42 – $116.71 | 7,460 | 7 |
| Cherokee, NC | $556.53 | $0.00 – $674.33 | 7,460 | 4 |
| Rehrersburg, PA | $521.48 | $521.48 – $521.48 | 7,438 | 1 |
| Wilsonville, OR | $59.10 | $0.00 – $115.15 | 7,417 | 8 |
| Palo Alto, CA | $118.99 | $0.00 – $222.52 | 7,416 | 9 |
| Kings Beach, CA | $60.66 | $60.66 – $60.66 | 7,397 | 1 |
| Crittenden, KY | $347.62 | $115.38 – $370.48 | 7,396 | 2 |
| Bristol, PA | $293.62 | $293.62 – $293.62 | 7,391 | 1 |
| Roeland Park, KS | $114.70 | $114.70 – $114.70 | 7,391 | 1 |
| Yanceyille, NC | $102.27 | $102.27 – $102.27 | 7,356 | 1 |
| South Nashville, TN | $84.64 | $84.64 – $84.64 | 7,355 | 1 |
| Randolph, VT | $195.44 | $41.99 – $998.48 | 7,352 | 8 |
| Zion, IL | $70.22 | $0.10 – $72.05 | 7,334 | 3 |
| Greeneville, TN | $80.09 | $11.65 – $106.55 | 7,330 | 3 |
| Cohoes, NY | $57.06 | $57.06 – $57.06 | 7,311 | 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.