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 |
|---|---|---|---|---|
| King City, CA | $229.13 | $183.00 – $248.37 | 2,674 | 2 |
| Saint Cloud, FL | $28.76 | $0.00 – $115.79 | 2,672 | 3 |
| Spencer, IN | $52.89 | $52.89 – $52.89 | 2,672 | 1 |
| Levant, ME | $79.50 | $77.10 – $81.28 | 2,670 | 2 |
| Pittfield, IL | $72.81 | $72.81 – $72.81 | 2,667 | 1 |
| Medway, OH | $120.72 | $120.72 – $120.72 | 2,664 | 1 |
| Bath, ME | $87.56 | $68.01 – $105.02 | 2,662 | 4 |
| Sherman, TX | $55.31 | $53.41 – $66.52 | 2,658 | 3 |
| Burton, MI | $1.66 | $1.66 – $1.66 | 2,655 | 1 |
| South Beloit, IL | $20.09 | $20.09 – $20.09 | 2,646 | 1 |
| Dunn, NC | $122.79 | $122.79 – $122.79 | 2,635 | 1 |
| Canal Winchester, OH | $57.00 | $0.00 – $167.24 | 2,629 | 4 |
| East Wenatchee, WA | $1.87 | $0.00 – $3.41 | 2,629 | 9 |
| Bellbrook, OH | $106.66 | $60.84 – $125.53 | 2,626 | 2 |
| Pittsburgh, PA | $79.14 | $0.00 – $154.01 | 2,625 | 10 |
| Sonora, CA | $14.07 | $14.07 – $14.07 | 2,625 | 1 |
| Park Rapids, MN | $1,407 | $27.98 – $1,656 | 2,625 | 3 |
| Deforest, WI | $25.86 | $25.86 – $25.86 | 2,620 | 1 |
| Kotzebue, AK | $733.93 | $626.91 – $734.84 | 2,617 | 2 |
| Morris Plains, NJ | $109.48 | $109.48 – $109.48 | 2,615 | 1 |
| El Cerrito, CA | $73.18 | $71.58 – $118.32 | 2,608 | 2 |
| Williston, VT | $61.71 | $50.03 – $98.90 | 2,605 | 3 |
| Attleboro, MA | $224.45 | $1.53 – $575.07 | 2,605 | 6 |
| East Moline, IL | $49.30 | $49.30 – $49.30 | 2,605 | 1 |
| Enumclaw, WA | $0.00 | $0.00 – $0.00 | 2,601 | 5 |
| Stevens Point, WI | $21.74 | $2.04 – $52.68 | 2,600 | 6 |
| Athens, AL | $78.64 | $78.64 – $78.64 | 2,599 | 1 |
| Greenfield, WI | $22.77 | $12.78 – $25.24 | 2,598 | 6 |
| Fort Gibson, OK | $63.31 | $56.58 – $113.58 | 2,595 | 3 |
| Babylon, NY | $5.94 | $5.94 – $5.94 | 2,590 | 1 |
| Hartford, VT | $777.58 | $24.93 – $1,533 | 2,586 | 9 |
| American Falls, ID | $50.68 | $50.68 – $50.68 | 2,585 | 1 |
| San Pablo, CA | $177.41 | $25.20 – $292.97 | 2,580 | 7 |
| Mccall, ID | $58.10 | $58.10 – $58.10 | 2,575 | 1 |
| Marysville, WA | $66.10 | $0.00 – $152.40 | 2,566 | 8 |
| Buhl, ID | $211.16 | $211.16 – $211.16 | 2,565 | 1 |
| Shawano, WI | $28.65 | $7.09 – $68.37 | 2,563 | 3 |
| Arcata, CA | $7.64 | $0.00 – $32.63 | 2,562 | 20 |
| Barstow, MD | $62.60 | $62.60 – $62.60 | 2,558 | 1 |
| Darien, CT | $111.08 | $108.68 – $114.45 | 2,548 | 2 |
| Fairlawn, VA | $25.76 | $25.76 – $25.76 | 2,546 | 1 |
| Austin, IN | $111.59 | $111.59 – $111.59 | 2,542 | 1 |
| Snoqualmie, WA | $37.37 | $0.00 – $69.05 | 2,542 | 7 |
| Dardanelle, AR | $92.83 | $92.83 – $92.83 | 2,539 | 1 |
| Hialeah, FL | $40.98 | $0.00 – $44.99 | 2,538 | 3 |
| Archbold, OH | $147.21 | $51.85 – $169.55 | 2,537 | 5 |
| Dyer Brook, ME | $134.17 | $93.02 – $158.46 | 2,537 | 3 |
| Butte, MT | $415.11 | $32.94 – $2,841 | 2,535 | 2 |
| Paoli, OK | $70.98 | $70.98 – $70.98 | 2,535 | 1 |
| Canton, CT | $0.00 | $0.00 – $0.00 | 2,521 | 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.