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 |
|---|---|---|---|---|
| Methuen, MA | $32.80 | $32.80 – $32.80 | 3,431 | 1 |
| Fremont, CA | $118.07 | $12.07 – $211.63 | 3,423 | 5 |
| Mariaville, ME | $75.11 | $75.11 – $75.11 | 3,423 | 1 |
| Bishop, CA | $24.06 | $0.00 – $34.20 | 3,421 | 2 |
| Allston, MA | $209.98 | $0.00 – $214.69 | 3,418 | 2 |
| Adelanto, CA | $0.02 | $0.00 – $0.76 | 3,398 | 6 |
| Clinton, OH | $55.10 | $19.31 – $102.36 | 3,388 | 10 |
| District Heights, MD | $24.99 | $0.00 – $25.13 | 3,387 | 2 |
| Union City, TN | $77.69 | $77.69 – $77.69 | 3,386 | 1 |
| Spanaway, WA | $83.04 | $0.00 – $154.27 | 3,386 | 8 |
| Jonesville, MI | $52.10 | $36.27 – $52.41 | 3,386 | 2 |
| Hicksville, NY | $72.67 | $0.04 – $73.80 | 3,383 | 2 |
| Perry, OK | $66.03 | $0.00 – $71.16 | 3,375 | 6 |
| Davis, CA | $126.57 | $22.59 – $127.56 | 3,368 | 3 |
| Camillus, NY | $52.75 | $52.75 – $52.75 | 3,367 | 1 |
| Mount Vernon, ME | $79.89 | $71.97 – $121.08 | 3,366 | 2 |
| Appleton, NY | $465.83 | $465.83 – $465.83 | 3,358 | 1 |
| Huron, SD | $63.79 | $63.79 – $63.79 | 3,355 | 1 |
| Fernley, NV | $3.37 | $0.00 – $56.51 | 3,355 | 2 |
| Cottonwood Heights, UT | $115.53 | $115.53 – $115.53 | 3,355 | 1 |
| Americus, GA | $0.00 | $0.00 – $0.00 | 3,352 | 4 |
| Elizabethtown, NY | $49.50 | $49.50 – $49.50 | 3,351 | 1 |
| Winnetka, CA | $0.01 | $0.00 – $0.98 | 3,343 | 5 |
| Freeville, NY | $57.31 | $57.31 – $57.31 | 3,339 | 1 |
| Redmond, WA | $15.35 | $0.00 – $103.19 | 3,330 | 16 |
| East Dixfield, ME | $100.33 | $100.33 – $100.33 | 3,326 | 1 |
| Norco, CA | $0.00 | $0.00 – $0.01 | 3,324 | 7 |
| Burlingame, CA | $54.69 | $20.76 – $269.99 | 3,324 | 6 |
| Evans, GA | $37.43 | $37.43 – $37.43 | 3,324 | 1 |
| Palos Verdes Estates, CA | $0.00 | $0.00 – $0.00 | 3,321 | 1 |
| Willcox, AZ | $104.85 | $104.85 – $104.85 | 3,315 | 1 |
| Littlefield, AZ | $41.64 | $24.84 – $99.19 | 3,310 | 2 |
| Fairfield Township, OH | $74.89 | $27.19 – $90.22 | 3,309 | 4 |
| Williamstown, KY | $80.53 | $70.89 – $115.88 | 3,303 | 4 |
| Allensville, KY | $458.12 | $458.12 – $458.12 | 3,301 | 1 |
| Columbia Heights, MN | $12.11 | $12.11 – $12.11 | 3,300 | 1 |
| Marrero, LA | $52.42 | $0.00 – $85.67 | 3,291 | 4 |
| Los Banos, CA | $98.22 | $98.22 – $98.22 | 3,287 | 1 |
| Dublin, VA | $32.62 | $20.98 – $32.67 | 3,286 | 2 |
| Boothbay Harbor, ME | $97.31 | $96.55 – $98.12 | 3,274 | 2 |
| S Portland, ME | $79.29 | $79.29 – $79.29 | 3,272 | 1 |
| Whiteville, NC | $103.48 | $43.71 – $131.56 | 3,271 | 4 |
| Portage, WI | $27.66 | $26.65 – $50.10 | 3,270 | 2 |
| Mcconnelsville, OH | $55.05 | $24.36 – $130.48 | 3,269 | 6 |
| Westville, OK | $64.12 | $56.30 – $551.11 | 3,267 | 4 |
| Salida, CO | $50.90 | $0.00 – $85.17 | 3,266 | 5 |
| Othello, WA | $14.09 | $0.00 – $19.58 | 3,258 | 5 |
| Williston, ND | $206.88 | $1.69 – $607.39 | 3,252 | 9 |
| Woodridge, IL | $81.52 | $0.00 – $123.56 | 3,250 | 3 |
| Browning, MT | $17.84 | $12.28 – $41.11 | 3,237 | 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.