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 |
|---|---|---|---|---|
| Ham Lake X, MN | $84.36 | $84.36 – $84.36 | 5,251 | 1 |
| Riverside, RI | $24.24 | $14.18 – $169.02 | 5,247 | 3 |
| Cambridge, MN | $96.13 | $86.87 – $97.00 | 5,246 | 2 |
| Fredonia, AZ | $64.82 | $21.84 – $122.09 | 5,243 | 2 |
| Felicity, OH | $80.11 | $80.11 – $80.11 | 5,226 | 1 |
| Pullman, WA | $4.61 | $0.00 – $51.38 | 5,225 | 11 |
| Gaithersburg, MD | $56.88 | $50.51 – $148.80 | 5,218 | 6 |
| Dilworth, MN | $895.97 | $342.53 – $901.98 | 5,213 | 2 |
| Michigan City, IN | $77.14 | $77.14 – $77.14 | 5,209 | 1 |
| Hood River, OR | $62.00 | $0.00 – $163.85 | 5,201 | 9 |
| Monroe, WA | $59.57 | $0.00 – $124.66 | 5,195 | 12 |
| Mayfield Hts, OH | $59.64 | $59.64 – $59.64 | 5,186 | 1 |
| Haddon Township, NJ | $66.61 | $62.05 – $173.54 | 5,186 | 2 |
| Bartonville, TX | $63.51 | $63.51 – $63.51 | 5,185 | 1 |
| Rootstown, OH | $93.23 | $23.64 – $138.77 | 5,176 | 11 |
| Hawthorne, CA | $52.00 | $0.00 – $82.74 | 5,169 | 5 |
| Powell, OH | $140.71 | $0.00 – $143.94 | 5,166 | 2 |
| Reedley, CA | $23.71 | $23.71 – $23.71 | 5,164 | 1 |
| Spanish Fork, UT | $26.01 | $8.66 – $37.86 | 5,158 | 2 |
| Derry, NH | $137.23 | $64.68 – $308.54 | 5,121 | 4 |
| Lancaster, SC | $69.66 | $26.03 – $109.98 | 5,117 | 3 |
| Winston, OR | $17.80 | $17.80 – $17.80 | 5,116 | 1 |
| Painesville, OH | $73.80 | $18.76 – $129.31 | 5,114 | 11 |
| Cameron, OK | $68.92 | $68.92 – $68.92 | 5,112 | 1 |
| Rocky Point, NC | $131.26 | $129.86 – $131.62 | 5,105 | 2 |
| Seneca, SC | $99.65 | $22.70 – $101.04 | 5,079 | 3 |
| Plymouth, MA | $14.35 | $10.00 – $130.14 | 5,074 | 3 |
| Southwest Harbor, ME | $82.97 | $81.46 – $83.82 | 5,064 | 2 |
| Mechanicsville, VA | $156.99 | $25.43 – $169.75 | 5,035 | 2 |
| Lake Isabella, CA | $186.05 | $186.05 – $186.05 | 5,023 | 1 |
| Rockville Centre, NY | $122.26 | $9.17 – $144.57 | 5,012 | 3 |
| North Little Rock, AR | $51.60 | $1.40 – $96.46 | 5,008 | 12 |
| Reisterstown, MD | $139.64 | $64.32 – $206.58 | 5,007 | 2 |
| Newcastle, ME | $74.93 | $72.07 – $84.00 | 4,997 | 3 |
| Lantana, FL | $4.91 | $1.33 – $31.96 | 4,996 | 3 |
| Vashon, WA | $0.69 | $0.00 – $20.12 | 4,987 | 7 |
| Pocahontas, AR | $86.55 | $81.21 – $90.23 | 4,985 | 2 |
| Salem, OH | $122.15 | $122.15 – $122.15 | 4,973 | 1 |
| Red Springs, NC | $192.63 | $192.63 – $192.63 | 4,970 | 1 |
| Antioch, TN | $166.05 | $0.00 – $190.08 | 4,969 | 3 |
| Ellensburg, WA | $43.01 | $0.00 – $136.13 | 4,968 | 18 |
| Griffin, GA | $0.00 | $0.00 – $0.01 | 4,957 | 2 |
| Pompano Beach, FL | $45.76 | $36.94 – $46.42 | 4,945 | 2 |
| Lakeview, OR | $29.84 | $0.00 – $72.54 | 4,943 | 8 |
| River Vale, NJ | $35.12 | $35.12 – $35.12 | 4,942 | 1 |
| Columbia, KY | $46.14 | $0.00 – $97.13 | 4,933 | 12 |
| Port Townsend, WA | $20.05 | $0.00 – $144.13 | 4,932 | 14 |
| Elma, WA | $118.11 | $111.93 – $158.74 | 4,930 | 4 |
| St Clair, MI | $133.02 | $133.02 – $133.02 | 4,929 | 1 |
| Hammond, IN | $30.05 | $30.05 – $30.05 | 4,927 | 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.