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 |
|---|---|---|---|---|
| Newport, RI | $31.33 | $16.24 – $55.33 | 4,594 | 2 |
| Stanhope, NJ | $41.52 | $41.52 – $41.52 | 4,590 | 1 |
| Hokah, MN | $10.16 | $10.16 – $10.16 | 4,588 | 1 |
| Egg Harbor Twp, NJ | $190.84 | $190.84 – $190.84 | 4,571 | 1 |
| Ocean, NJ | $105.39 | $21.44 – $110.25 | 4,566 | 2 |
| Edgecomb, ME | $74.94 | $74.94 – $74.94 | 4,564 | 1 |
| Bondville, VT | $468.40 | $468.40 – $468.40 | 4,559 | 1 |
| Milford, CT | $121.71 | $67.53 – $154.11 | 4,557 | 5 |
| Big Lake, MN | $760.88 | $37.11 – $1,059 | 4,520 | 4 |
| Bristol, CT | $77.22 | $0.00 – $166.14 | 4,517 | 11 |
| Ochelata, OK | $105.53 | $105.53 – $105.53 | 4,511 | 1 |
| Holtsville, NY | $55.34 | $55.34 – $55.34 | 4,497 | 1 |
| Gallatin, TN | $90.61 | $85.48 – $102.18 | 4,491 | 3 |
| Marshall, IL | $104.52 | $60.57 – $104.93 | 4,490 | 2 |
| Hollywood, FL | $62.41 | $2.15 – $129.23 | 4,485 | 5 |
| Riverton, KS | $59.91 | $0.00 – $62.69 | 4,481 | 3 |
| Newport, ME | $72.64 | $61.72 – $87.20 | 4,479 | 3 |
| North Reading, MA | $127.84 | $100.71 – $127.99 | 4,478 | 2 |
| Sutter Creek, CA | $39.39 | $0.00 – $42.92 | 4,477 | 2 |
| Breckenridge, MN | $63.52 | $62.45 – $78.27 | 4,462 | 3 |
| Long Beach, WA | $21.66 | $0.00 – $169.23 | 4,457 | 12 |
| Delta, UT | $176.37 | $176.37 – $176.37 | 4,448 | 1 |
| Sicklerville, NJ | $96.02 | $23.12 – $161.55 | 4,446 | 3 |
| Lebanon, IN | $25.68 | $23.77 – $29.16 | 4,444 | 3 |
| Celina, OH | $92.53 | $48.72 – $136.82 | 4,443 | 9 |
| South Richmond Hill, NY | $5.33 | $0.00 – $43.38 | 4,441 | 9 |
| Lagrange, GA | $17.48 | $0.00 – $18.01 | 4,433 | 2 |
| Henderson, KY | $42.50 | $0.00 – $55.83 | 4,429 | 7 |
| River Falls, WI | $1,212 | $1,212 – $1,212 | 4,416 | 1 |
| Buena, WA | $23.91 | $11.17 – $64.54 | 4,387 | 2 |
| Craig, AK | $92.64 | $92.64 – $92.64 | 4,385 | 1 |
| East Patchogue, NY | $104.32 | $104.32 – $104.32 | 4,384 | 1 |
| Phoenix, OR | $70.02 | $0.00 – $119.03 | 4,372 | 12 |
| Exeter, NH | $45.59 | $45.59 – $45.59 | 4,355 | 1 |
| Duncan, SC | $101.95 | $101.95 – $101.95 | 4,351 | 1 |
| Munroe Falls, OH | $122.24 | $27.35 – $192.36 | 4,351 | 2 |
| Farmington, NY | $176.49 | $176.49 – $176.49 | 4,351 | 1 |
| Enon, OH | $157.02 | $157.02 – $157.02 | 4,344 | 1 |
| Jackson, ME | $53.66 | $53.66 – $53.66 | 4,343 | 1 |
| Abbeville, LA | $76.64 | $0.00 – $83.62 | 4,336 | 2 |
| Campo, CA | $258.22 | $258.22 – $258.22 | 4,332 | 1 |
| Warner, OK | $60.04 | $58.22 – $65.28 | 4,330 | 2 |
| Wellington, KS | $38.27 | $0.00 – $45.16 | 4,324 | 2 |
| Lincoln City, OR | $85.87 | $0.00 – $160.93 | 4,324 | 8 |
| Benton, KY | $21.46 | $21.46 – $21.46 | 4,317 | 1 |
| Danforth, ME | $72.49 | $72.49 – $72.49 | 4,316 | 1 |
| Booneville, KY | $8.57 | $7.29 – $60.89 | 4,309 | 2 |
| Glendale, CO | $303.21 | $144.81 – $306.70 | 4,308 | 2 |
| Queens Village, NY | $27.97 | $0.00 – $207.36 | 4,303 | 6 |
| Bolingbrook, IL | $113.76 | $52.32 – $114.44 | 4,301 | 2 |
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.