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 |
|---|---|---|---|---|
| Mancos, CO | $40.63 | $40.19 – $79.79 | 2,520 | 2 |
| Gaffney, SC | $52.83 | $23.81 – $53.29 | 2,516 | 2 |
| New Franklin, OH | $23.53 | $23.53 – $23.53 | 2,510 | 1 |
| Sammamish, WA | $0.00 | $0.00 – $0.00 | 2,508 | 5 |
| Cave Creek, AZ | $147.46 | $147.46 – $147.46 | 2,503 | 1 |
| Grand Terrace, CA | $0.00 | $0.00 – $0.00 | 2,503 | 4 |
| Jamestown, NY | $133.02 | $15.92 – $4,790 | 2,501 | 5 |
| Gloucester, MA | $85.57 | $85.57 – $85.57 | 2,501 | 1 |
| Gloversville, NY | $50.96 | $50.96 – $50.96 | 2,500 | 1 |
| Greenport, NY | $58.80 | $58.80 – $58.80 | 2,496 | 1 |
| Braxton, MS | $77.12 | $77.12 – $77.12 | 2,494 | 1 |
| Maynard, MA | $42.49 | $37.32 – $99.42 | 2,486 | 2 |
| Wabash, IN | $343.38 | $343.38 – $343.38 | 2,479 | 1 |
| Richland, GA | $0.00 | $0.00 – $0.00 | 2,471 | 2 |
| Blue Hill, ME | $53.55 | $30.15 – $63.91 | 2,470 | 3 |
| Plainview, MN | $9.13 | $9.13 – $9.13 | 2,468 | 1 |
| Stow, OH | $39.10 | $27.85 – $148.75 | 2,467 | 3 |
| Parma Heights, OH | $125.88 | $0.00 – $210.34 | 2,466 | 5 |
| Warr Acres, OK | $67.62 | $63.81 – $70.31 | 2,435 | 4 |
| Orting, WA | $19.27 | $19.27 – $19.27 | 2,428 | 1 |
| Bellerose, NY | $1.03 | $1.03 – $1.03 | 2,425 | 1 |
| Ansonia, CT | $30.65 | $0.00 – $147.48 | 2,425 | 3 |
| New Providence, NJ | $42.17 | $42.17 – $42.17 | 2,425 | 1 |
| Blue Springs, MO | $0.00 | $0.00 – $0.00 | 2,420 | 1 |
| Turner, OR | $18.61 | $17.12 – $123.16 | 2,419 | 2 |
| Chester, VA | $206.86 | $19.21 – $228.20 | 2,411 | 3 |
| Bensalem, PA | $361.39 | $361.39 – $361.39 | 2,410 | 1 |
| Burkesville, KY | $82.92 | $82.92 – $82.92 | 2,404 | 1 |
| Sylmar, CA | $0.00 | $0.00 – $0.00 | 2,398 | 2 |
| Truckee, CA | $68.20 | $17.37 – $100.54 | 2,394 | 2 |
| Coventry, RI | $16.33 | $16.24 – $20.62 | 2,393 | 2 |
| Highland, AR | $87.67 | $87.67 – $87.67 | 2,385 | 1 |
| Lanoka Harbor, NJ | $43.82 | $3.58 – $117.28 | 2,380 | 7 |
| Mckinleyville, CA | $3.10 | $0.00 – $24.00 | 2,377 | 12 |
| Scarsdale, NY | $31.42 | $8.14 – $57.21 | 2,365 | 2 |
| Liberty Township, OH | $40.37 | $40.37 – $40.37 | 2,351 | 1 |
| Needles, CA | $77.42 | $77.42 – $77.42 | 2,351 | 1 |
| Heppner, OR | $42.42 | $0.00 – $44.80 | 2,349 | 3 |
| Interlachen, FL | $73.38 | $73.38 – $73.38 | 2,348 | 1 |
| Jay, OK | $86.69 | $0.00 – $182.27 | 2,346 | 9 |
| Rockport, ME | $103.49 | $65.85 – $112.74 | 2,342 | 3 |
| Craig, CO | $35.65 | $26.17 – $36.57 | 2,342 | 3 |
| Kingfisher, OK | $52.51 | $0.00 – $67.23 | 2,341 | 4 |
| Smyrna, TN | $193.48 | $13.45 – $291.16 | 2,337 | 2 |
| Marshall, MI | $0.00 | $0.00 – $0.00 | 2,335 | 1 |
| Lakeland, FL | $66.41 | $2.63 – $219.03 | 2,333 | 14 |
| Hollis Center, ME | $173.74 | $173.74 – $173.74 | 2,329 | 1 |
| Paris, ID | $170.73 | $170.73 – $170.73 | 2,326 | 1 |
| Burlington, KS | $76.85 | $76.85 – $76.85 | 2,319 | 1 |
| California, MO | $57.13 | $57.13 – $57.13 | 2,319 | 1 |
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.