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 |
|---|---|---|---|---|
| Adel, GA | $53.55 | $53.55 – $53.55 | 4,016 | 1 |
| Cynthiana, KY | $86.50 | $9.82 – $106.93 | 4,003 | 2 |
| Norwell, MA | $97.58 | $35.29 – $98.19 | 3,998 | 3 |
| Longwood, FL | $46.48 | $0.00 – $53.16 | 3,994 | 5 |
| Granger, IN | $394.40 | $394.40 – $394.40 | 3,990 | 1 |
| Cumberland, RI | $16.68 | $16.36 – $18.93 | 3,979 | 2 |
| Bernalillo, NM | $125.59 | $85.44 – $145.81 | 3,977 | 2 |
| Mattawamkeag, ME | $83.68 | $83.68 – $83.68 | 3,971 | 1 |
| Lexington, SC | $43.12 | $21.81 – $43.20 | 3,967 | 2 |
| Chippewa Falls, WI | $34.73 | $10.37 – $72.67 | 3,966 | 7 |
| Goodlettsville, TN | $120.95 | $12.43 – $189.25 | 3,966 | 2 |
| Lebanon, VA | $24.67 | $20.06 – $93.14 | 3,963 | 3 |
| Caney, KS | $68.95 | $68.95 – $68.95 | 3,963 | 1 |
| Madison, CT | $126.11 | $120.71 – $150.12 | 3,946 | 2 |
| Elmont, NY | $19.20 | $0.01 – $204.36 | 3,944 | 7 |
| Troutdale, OR | $61.12 | $61.12 – $61.12 | 3,938 | 1 |
| Winter Haven, FL | $272.03 | $3.53 – $297.32 | 3,926 | 4 |
| Elizabethtown, NC | $121.22 | $121.22 – $121.22 | 3,921 | 1 |
| Mililani, HI | $13.01 | $13.01 – $13.01 | 3,921 | 1 |
| Belgrade, ME | $82.94 | $2.35 – $94.26 | 3,918 | 3 |
| Jonesboro, LA | $42.63 | $29.23 – $342.97 | 3,901 | 3 |
| Sunnyside, NY | $2.81 | $0.00 – $25.00 | 3,898 | 8 |
| Chowchilla, CA | $12.41 | $0.01 – $35.47 | 3,898 | 3 |
| Lincoln, IL | $63.39 | $55.66 – $92.34 | 3,897 | 3 |
| Manning, SC | $67.16 | $24.70 – $67.29 | 3,890 | 2 |
| Matawan, NJ | $110.54 | $110.54 – $110.54 | 3,890 | 1 |
| Bayonne, NJ | $112.94 | $112.83 – $114.95 | 3,883 | 2 |
| Pasco, CA | $40.90 | $34.52 – $44.11 | 3,883 | 2 |
| Northport, ME | $74.46 | $73.14 – $77.81 | 3,874 | 2 |
| New Windsor, NY | $89.97 | $3.02 – $134.70 | 3,870 | 5 |
| South Berwick, ME | $70.11 | $60.68 – $76.45 | 3,867 | 2 |
| Camp Springs, MD | $31.03 | $0.00 – $82.01 | 3,865 | 4 |
| Austin, MN | $112.83 | $101.88 – $172.98 | 3,863 | 3 |
| Maud, OK | $37.16 | $37.16 – $37.16 | 3,861 | 1 |
| Loomis, CA | $58.53 | $58.53 – $58.53 | 3,858 | 1 |
| Greenville, MS | $43.05 | $30.32 – $47.49 | 3,854 | 2 |
| Bluffton, OH | $163.43 | $46.10 – $200.79 | 3,841 | 3 |
| Hamersville, OH | $169.18 | $169.18 – $169.18 | 3,822 | 1 |
| Stevenson, AL | $124.79 | $124.79 – $124.79 | 3,797 | 1 |
| Wyoming, MN | $1,117 | $1,001 – $1,132 | 3,794 | 2 |
| Willows, CA | $84.04 | $0.00 – $86.23 | 3,786 | 2 |
| Madison, ME | $80.38 | $73.57 – $100.65 | 3,778 | 3 |
| Bradford, VT | $94.47 | $94.31 – $95.65 | 3,759 | 2 |
| East Providence, RI | $54.67 | $54.66 – $54.68 | 3,746 | 2 |
| Manchester, VT | $407.90 | $407.90 – $407.90 | 3,734 | 1 |
| Apex, NC | $138.64 | $138.64 – $138.64 | 3,724 | 1 |
| Crestview Hills, KY | $68.36 | $40.10 – $70.49 | 3,723 | 4 |
| Lancaster, NH | $84.73 | $30.21 – $88.52 | 3,720 | 4 |
| Woodbury, NJ | $149.76 | $109.48 – $328.01 | 3,712 | 3 |
| Colorado City, AZ | $68.14 | $11.69 – $115.53 | 3,712 | 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.