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 |
|---|---|---|---|---|
| Pickerington, OH | $92.91 | $0.00 – $139.35 | 7,295 | 8 |
| Sanger, CA | $64.64 | $64.64 – $64.64 | 7,276 | 1 |
| Sartell, MN | $136.76 | $118.35 – $229.59 | 7,264 | 3 |
| Monticello, NY | $165.75 | $125.29 – $173.30 | 7,262 | 2 |
| Monticello, IL | $92.60 | $57.60 – $93.23 | 7,261 | 2 |
| Struthers, OH | $72.95 | $31.00 – $148.82 | 7,254 | 10 |
| Jacksonville, AR | $93.30 | $27.52 – $96.55 | 7,248 | 4 |
| Watonga, OK | $60.52 | $32.18 – $66.17 | 7,244 | 3 |
| Oklahoma, OK | $65.95 | $62.23 – $69.55 | 7,244 | 2 |
| Bokchito, OK | $69.84 | $69.84 – $69.84 | 7,241 | 1 |
| Rockledge, FL | $72.53 | $10.92 – $137.10 | 7,223 | 8 |
| Manalapan, NJ | $110.10 | $110.10 – $110.10 | 7,218 | 1 |
| Lapeer, MI | $165.86 | $12.58 – $216.62 | 7,212 | 4 |
| Cortland, NY | $126.15 | $77.14 – $213.13 | 7,193 | 4 |
| Hilliard, OH | $74.93 | $30.09 – $182.33 | 7,190 | 10 |
| Hays, KS | $40.35 | $0.00 – $62.44 | 7,184 | 4 |
| West Orange, NJ | $154.80 | $0.00 – $165.73 | 7,180 | 3 |
| Bay Shore, NY | $60.87 | $3.99 – $235.76 | 7,175 | 3 |
| Coldwater, MI | $125.65 | $125.65 – $125.65 | 7,172 | 1 |
| Gerogetown, OH | $191.37 | $191.37 – $191.37 | 7,165 | 1 |
| Hamburg, NY | $59.38 | $59.38 – $59.38 | 7,155 | 1 |
| Monroe, NY | $58.70 | $58.70 – $58.70 | 7,145 | 1 |
| Vidalia, LA | $68.52 | $64.27 – $68.75 | 7,138 | 2 |
| Hudson, NY | $76.39 | $50.17 – $81.85 | 7,137 | 2 |
| Countryside, IL | $110.87 | $110.87 – $110.87 | 7,124 | 1 |
| Bristow, OK | $57.40 | $16.06 – $71.76 | 7,115 | 5 |
| Hollywood, CA | $110.47 | $110.47 – $110.47 | 7,098 | 1 |
| Anthem, AZ | $320.61 | $72.87 – $1,097 | 7,094 | 2 |
| Chicago Heights, IL | $96.43 | $89.23 – $112.00 | 7,058 | 2 |
| Rancho Cucamonga, CA | $3.13 | $0.00 – $112.92 | 7,048 | 14 |
| Hattiesburg, MS | $22.46 | $22.46 – $22.46 | 7,020 | 1 |
| Newtown Square, PA | $0.00 | $0.00 – $0.00 | 7,003 | 1 |
| Rogers, OH | $184.45 | $27.74 – $189.46 | 6,973 | 3 |
| Sturgis, SD | $92.89 | $76.35 – $97.20 | 6,967 | 2 |
| Woburn, MA | $122.90 | $3.13 – $143.17 | 6,954 | 4 |
| Olalla, WA | $89.06 | $0.00 – $181.67 | 6,943 | 4 |
| Cokato, MN | $104.71 | $100.23 – $106.03 | 6,942 | 2 |
| Shaker Hts, OH | $104.24 | $50.66 – $174.86 | 6,941 | 13 |
| Sandy, UT | $61.95 | $50.06 – $155.67 | 6,925 | 5 |
| Menands, NY | $29.80 | $29.80 – $29.80 | 6,921 | 1 |
| Hyattsville, MD | $122.23 | $0.00 – $184.22 | 6,918 | 12 |
| Inwood, WV | $107.93 | $107.93 – $107.93 | 6,897 | 1 |
| Ft Lauderdale, FL | $31.84 | $13.67 – $37.57 | 6,895 | 6 |
| Newport, VT | $172.72 | $0.00 – $809.59 | 6,893 | 4 |
| Woodstock, IL | $104.96 | $42.76 – $108.35 | 6,872 | 3 |
| Lavalette, WV | $135.20 | $135.20 – $135.20 | 6,818 | 1 |
| North Kingstown, RI | $45.62 | $10.65 – $178.36 | 6,813 | 6 |
| Taft, CA | $171.39 | $171.39 – $171.39 | 6,790 | 1 |
| Richlands, VA | $16.10 | $10.79 – $136.18 | 6,789 | 6 |
| Elsmere, KY | $80.25 | $13.84 – $116.53 | 6,773 | 5 |
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.