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 |
|---|---|---|---|---|
| Wilton, ME | $111.03 | $52.87 – $123.51 | 4,926 | 5 |
| Kittery, ME | $87.32 | $39.90 – $240.74 | 4,924 | 6 |
| Vienna, IL | $71.68 | $48.49 – $82.70 | 4,905 | 4 |
| New Richmond, OH | $8.86 | $0.00 – $53.15 | 4,903 | 6 |
| Carlyle, IL | $85.16 | $54.26 – $85.91 | 4,903 | 2 |
| South Kingstown, RI | $96.88 | $96.88 – $96.88 | 4,894 | 1 |
| Negaunee, MI | $47.36 | $47.36 – $47.36 | 4,889 | 1 |
| Kansas City, KS | $22.39 | $0.00 – $57.35 | 4,882 | 3 |
| Estacada, OR | $49.64 | $49.64 – $49.64 | 4,881 | 1 |
| Oro Valley, AZ | $109.71 | $103.02 – $112.92 | 4,864 | 2 |
| Chino Hills, CA | $0.00 | $0.00 – $0.00 | 4,864 | 7 |
| Overland Park, KS | $78.79 | $69.35 – $95.64 | 4,863 | 2 |
| Bokoshe, OK | $70.00 | $70.00 – $70.00 | 4,848 | 1 |
| Tesuque, NM | $164.19 | $164.19 – $164.19 | 4,839 | 1 |
| Berkley, MI | $59.42 | $0.00 – $64.68 | 4,838 | 2 |
| Watertown, SD | $55.12 | $55.12 – $55.12 | 4,824 | 1 |
| Oracle, AZ | $84.45 | $84.45 – $84.45 | 4,824 | 1 |
| Concordia, KS | $53.02 | $53.02 – $53.02 | 4,823 | 1 |
| La Grange, KY | $129.31 | $19.06 – $265.17 | 4,821 | 7 |
| Atmore, AL | $83.86 | $83.86 – $83.86 | 4,820 | 1 |
| Ames, IA | $3.31 | $0.00 – $52.97 | 4,805 | 2 |
| Forrest City, AR | $106.23 | $74.40 – $108.39 | 4,805 | 5 |
| North Canton, OH | $104.32 | $17.89 – $193.13 | 4,802 | 6 |
| Shaker Heights, OH | $98.62 | $35.51 – $391.73 | 4,800 | 9 |
| Airway Heights, WA | $74.84 | $46.12 – $199.35 | 4,800 | 4 |
| Mount Gilead, OH | $169.51 | $19.17 – $193.40 | 4,796 | 7 |
| Solon, OH | $102.65 | $0.00 – $196.35 | 4,792 | 12 |
| Forest Lake, MN | $229.71 | $229.71 – $229.71 | 4,786 | 1 |
| Pelican Lake, WI | $10.37 | $10.37 – $10.37 | 4,767 | 1 |
| Corfu, NY | $23.17 | $23.17 – $23.17 | 4,754 | 1 |
| Fayetteville, GA | $17.22 | $17.22 – $17.22 | 4,744 | 1 |
| Laveen, AZ | $174.81 | $36.47 – $618.10 | 4,725 | 6 |
| Shelby Township, MI | $660.82 | $660.82 – $660.82 | 4,691 | 1 |
| Mount Laurel, NJ | $81.11 | $41.93 – $179.47 | 4,687 | 5 |
| Briarwood, NY | $38.15 | $34.83 – $206.06 | 4,684 | 3 |
| Bell Gardens, CA | $0.41 | $0.00 – $3.38 | 4,677 | 9 |
| Vian, OK | $69.65 | $69.65 – $69.65 | 4,677 | 1 |
| South Orange, NJ | $16.40 | $16.40 – $16.40 | 4,674 | 1 |
| Malabar, FL | $75.27 | $0.00 – $79.29 | 4,672 | 2 |
| Harrisburg, OR | $38.34 | $33.73 – $68.12 | 4,667 | 3 |
| Elk Grove, CA | $198.18 | $0.00 – $342.63 | 4,664 | 5 |
| Meeker, CO | $552.96 | $24.47 – $608.48 | 4,660 | 2 |
| Saint Ignace, MI | $20.36 | $20.36 – $20.36 | 4,659 | 1 |
| Aurora, WV | $192.84 | $192.84 – $192.84 | 4,647 | 1 |
| Wakefield, MI | $109.04 | $109.04 – $109.04 | 4,641 | 1 |
| Tecumseh, OK | $61.28 | $0.00 – $67.63 | 4,621 | 6 |
| Egg Harbor City, NJ | $92.76 | $92.76 – $92.76 | 4,614 | 1 |
| Lincoln Park, MI | $72.41 | $0.00 – $81.69 | 4,610 | 2 |
| Marshalltown, IA | $2.74 | $0.00 – $60.03 | 4,598 | 2 |
| Baxter, MN | $99.96 | $78.06 – $150.16 | 4,598 | 6 |
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.