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 |
|---|---|---|---|---|
| Kirksville, MO | $26.03 | $0.00 – $55.67 | 398,481 | 19 |
| Salisbury, MD | $82.68 | $0.00 – $325.17 | 398,117 | 42 |
| Eau Claire, WI | $12.36 | $0.00 – $60.01 | 398,101 | 90 |
| Portland, ME | $116.83 | $0.00 – $1,386 | 397,924 | 263 |
| Sheboygan, WI | $10.92 | $6.90 – $37.59 | 394,657 | 34 |
| Arvada, CO | $43.14 | $2.45 – $3,346 | 394,515 | 18 |
| Thornton, CO | $141.40 | $0.00 – $687.37 | 394,423 | 49 |
| Pawtucket, RI | $40.18 | $0.00 – $91.56 | 393,238 | 15 |
| Fairfield, CA | $53.40 | $0.00 – $346.83 | 393,102 | 21 |
| Wilmington, NC | $59.14 | $0.00 – $245.43 | 392,292 | 21 |
| Apache Junction, AZ | $105.05 | $0.00 – $495.42 | 391,023 | 13 |
| Beckley, WV | $110.61 | $0.00 – $143.35 | 389,493 | 19 |
| El Cajon, CA | $60.98 | $0.00 – $687.18 | 386,165 | 22 |
| Stanton, CA | $42.92 | $33.37 – $165.17 | 385,456 | 2 |
| North Wilkesboro, NC | $29.86 | $29.86 – $29.86 | 382,000 | 1 |
| Van Nuys, CA | $37.55 | $0.00 – $545.94 | 381,119 | 17 |
| Chelmsford, MA | $10.14 | $4.77 – $10.14 | 379,590 | 2 |
| Brockton, MA | $18.01 | $5.01 – $412.18 | 379,311 | 14 |
| Kennett, MO | $33.86 | $0.00 – $152.28 | 378,665 | 6 |
| Norman, OK | $70.43 | $0.00 – $143.50 | 378,440 | 169 |
| Prescott Valley, AZ | $72.67 | $0.00 – $232.60 | 376,398 | 20 |
| Mcalester, OK | $66.52 | $0.00 – $225.95 | 376,232 | 99 |
| Onalaska, WI | $11.57 | $5.38 – $107.13 | 371,794 | 38 |
| West Monroe, LA | $166.42 | $0.00 – $176.87 | 371,350 | 12 |
| Madison, IN | $21.63 | $20.61 – $54.50 | 370,835 | 2 |
| Brooklyn Park, MN | $13.83 | $11.00 – $139.81 | 369,545 | 7 |
| Idaho Falls, ID | $117.95 | $0.00 – $214.70 | 364,872 | 47 |
| Hampton, VA | $104.01 | $6.43 – $125.02 | 364,655 | 9 |
| Glenville, NY | $31.17 | $31.17 – $38.16 | 361,499 | 2 |
| Avondale, AZ | $49.07 | $0.00 – $506.37 | 359,369 | 37 |
| Mansfield, OH | $73.58 | $0.00 – $333.60 | 356,433 | 159 |
| Menlo Park, CA | $17.17 | $16.99 – $100.59 | 354,134 | 3 |
| Camden, NJ | $82.66 | $0.00 – $598.84 | 353,891 | 12 |
| Chula Vista, CA | $62.47 | $0.00 – $239.43 | 352,408 | 13 |
| Marysville, CA | $73.91 | $0.00 – $137.39 | 352,329 | 3 |
| Maple Heights, OH | $15.58 | $14.57 – $168.99 | 348,774 | 8 |
| Prestonsburg, KY | $64.31 | $8.38 – $129.83 | 347,061 | 96 |
| Henderson, NV | $24.53 | $0.00 – $441.42 | 346,174 | 101 |
| Framingham, MA | $53.68 | $0.00 – $76.48 | 345,950 | 11 |
| San Bernardino, CA | $16.99 | $0.00 – $222.29 | 344,444 | 106 |
| Westminster, MD | $92.60 | $2.61 – $228.13 | 343,495 | 19 |
| Gaylord, MI | $15.80 | $15.80 – $15.80 | 343,163 | 1 |
| Oshkosh, WI | $9.72 | $0.00 – $56.34 | 342,304 | 42 |
| Kelso, WA | $19.23 | $0.00 – $193.75 | 341,142 | 46 |
| Manassas, VA | $49.17 | $7.06 – $363.52 | 339,816 | 18 |
| Oxnard, CA | $93.58 | $0.00 – $228.98 | 339,080 | 20 |
| Delta, CO | $130.96 | $0.00 – $136.79 | 338,824 | 8 |
| Corydon, IN | $73.47 | $15.39 – $364.46 | 337,963 | 2 |
| Jamaica, NY | $75.72 | $0.00 – $187.45 | 334,102 | 40 |
| Pico Rivera, CA | $20.17 | $17.87 – $104.68 | 333,905 | 3 |
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.