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 |
|---|---|---|---|---|
| Yamhill, OR | $70.21 | $70.21 – $70.21 | 3,704 | 1 |
| Golden Valley, MN | $97.39 | $15.09 – $141.95 | 3,698 | 2 |
| Colonia, NJ | $50.97 | $0.00 – $51.67 | 3,693 | 2 |
| Denham Springs, LA | $43.62 | $0.00 – $60.34 | 3,691 | 6 |
| St Paul Park, MN | $189.91 | $189.91 – $189.91 | 3,687 | 1 |
| Sandstone, MN | $81.57 | $81.57 – $81.57 | 3,678 | 1 |
| Lewis Center, OH | $76.52 | $28.15 – $149.37 | 3,677 | 6 |
| Florence, OR | $78.54 | $0.00 – $128.33 | 3,667 | 7 |
| Cudahy, WI | $25.99 | $23.19 – $26.40 | 3,657 | 2 |
| Tuba City, AZ | $0.00 | $0.00 – $0.00 | 3,656 | 1 |
| Lancaster, TX | $62.98 | $62.98 – $62.98 | 3,653 | 1 |
| Balsam Lake, WI | $50.98 | $25.97 – $58.47 | 3,650 | 3 |
| Pleasantville, NY | $109.25 | $109.25 – $109.25 | 3,646 | 1 |
| Sykesville, MD | $73.19 | $73.19 – $73.19 | 3,646 | 1 |
| Patchogue, NY | $31.24 | $2.64 – $46.25 | 3,643 | 4 |
| Titusville, FL | $69.47 | $13.71 – $92.91 | 3,639 | 8 |
| Morton, IL | $65.41 | $65.41 – $65.41 | 3,637 | 1 |
| Kingston, OH | $109.91 | $109.91 – $109.91 | 3,635 | 1 |
| Catoosa, OK | $49.69 | $0.00 – $68.73 | 3,634 | 8 |
| Thibodaux, LA | $47.98 | $2.57 – $54.20 | 3,624 | 4 |
| Bad Axe, MI | $389.46 | $4.52 – $464.02 | 3,620 | 3 |
| Goldendale, WA | $34.58 | $0.00 – $61.40 | 3,608 | 7 |
| Cheektowaga, NY | $43.00 | $12.13 – $183.95 | 3,600 | 3 |
| Jamestown, OH | $142.29 | $142.29 – $142.29 | 3,594 | 1 |
| Clifton, NJ | $114.36 | $114.36 – $114.36 | 3,580 | 1 |
| Rolling Meadows, IL | $145.04 | $145.04 – $145.04 | 3,577 | 1 |
| Salem, NH | $15.60 | $15.60 – $15.60 | 3,575 | 1 |
| Goshen, IN | $49.06 | $49.06 – $49.06 | 3,572 | 1 |
| Gonzales, LA | $19.27 | $0.00 – $142.07 | 3,563 | 4 |
| Bartlett, IL | $39.62 | $39.62 – $39.62 | 3,563 | 1 |
| Sumter, SC | $99.52 | $19.32 – $119.48 | 3,562 | 7 |
| Marietta, OK | $66.59 | $66.59 – $66.59 | 3,557 | 1 |
| Northampton, MA | $57.20 | $44.76 – $76.48 | 3,534 | 3 |
| Mt Juliet, TN | $89.81 | $89.81 – $89.81 | 3,531 | 1 |
| San Bruno, CA | $32.69 | $19.43 – $249.01 | 3,531 | 4 |
| Malvern, PA | $4,344 | $4,344 – $4,344 | 3,518 | 1 |
| Manitou, OK | $70.65 | $70.65 – $70.65 | 3,517 | 1 |
| Sevierville, TN | $94.43 | $94.43 – $94.43 | 3,504 | 1 |
| Andover, OH | $109.86 | $101.84 – $110.29 | 3,495 | 2 |
| Ridgeland, SC | $38.69 | $23.06 – $157.50 | 3,492 | 3 |
| Cordova, TN | $14.68 | $1.31 – $132.20 | 3,491 | 4 |
| Randallstown, MD | $162.81 | $0.00 – $178.01 | 3,490 | 3 |
| Cordell, OK | $69.67 | $69.67 – $69.67 | 3,490 | 1 |
| Flossmoor, IL | $95.45 | $81.23 – $138.47 | 3,489 | 2 |
| Wright City, OK | $68.09 | $64.49 – $69.51 | 3,469 | 2 |
| Webster, MA | $14.38 | $14.38 – $14.38 | 3,450 | 1 |
| Rowland, NC | $143.58 | $143.58 – $143.58 | 3,449 | 1 |
| Mackay, ID | $103.96 | $103.96 – $103.96 | 3,447 | 1 |
| Washington, PA | $105.89 | $0.00 – $398.94 | 3,444 | 8 |
| Fallbrook, CA | $10.26 | $0.00 – $414.63 | 3,436 | 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.