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 |
|---|---|---|---|---|
| La Push, WA | $69.69 | $69.69 – $69.69 | 2,319 | 1 |
| Troutman, NC | $148.19 | $148.19 – $148.19 | 2,316 | 1 |
| Buxton, ME | $92.28 | $52.39 – $95.96 | 2,308 | 2 |
| Taholah, WA | $39.79 | $39.79 – $39.79 | 2,307 | 1 |
| Elizabeth, CO | $46.63 | $44.90 – $112.34 | 2,303 | 3 |
| Stryker, OH | $106.39 | $7.88 – $139.05 | 2,300 | 4 |
| Helena, AR | $90.29 | $56.55 – $106.19 | 2,299 | 5 |
| Pleasanton, CA | $315.17 | $16.94 – $365.71 | 2,298 | 2 |
| Waterford, WI | $9.79 | $9.79 – $9.79 | 2,296 | 1 |
| Port Washington, WI | $30.84 | $29.34 – $31.96 | 2,295 | 2 |
| Marengo, IN | $73.80 | $73.80 – $73.80 | 2,295 | 1 |
| Hillsdale, MI | $174.57 | $174.57 – $174.57 | 2,290 | 1 |
| Monterey Park, CA | $0.02 | $0.02 – $0.02 | 2,288 | 1 |
| Grayslake, IL | $66.88 | $28.34 – $68.85 | 2,284 | 2 |
| Saint Joseph, MN | $474.53 | $474.53 – $474.53 | 2,276 | 1 |
| Barron, WI | $14.51 | $14.23 – $24.41 | 2,275 | 4 |
| Caruthers, CA | $42.30 | $18.88 – $54.71 | 2,270 | 2 |
| New Port Richey, FL | $9.14 | $0.00 – $27.75 | 2,263 | 4 |
| Upper Sandusky, OH | $201.99 | $201.99 – $201.99 | 2,263 | 1 |
| Ridgefield, WA | $102.35 | $76.46 – $109.08 | 2,261 | 4 |
| Rawlins, WY | $43.04 | $37.71 – $62.12 | 2,259 | 2 |
| Rittman, OH | $56.39 | $49.03 – $61.45 | 2,258 | 2 |
| Hobart, OK | $33.72 | $28.16 – $58.64 | 2,251 | 4 |
| Washington, VA | $22.66 | $22.66 – $22.66 | 2,251 | 1 |
| New Milford, CT | $88.35 | $0.00 – $154.33 | 2,240 | 5 |
| Torrington, WY | $88.93 | $70.86 – $139.67 | 2,237 | 9 |
| Nunica, MI | $65.77 | $65.77 – $65.77 | 2,225 | 1 |
| New Brockton, AL | $47.04 | $47.04 – $47.04 | 2,218 | 1 |
| Clyde, OH | $36.71 | $24.38 – $58.17 | 2,214 | 2 |
| Hinckley, ME | $85.83 | $80.61 – $93.76 | 2,213 | 2 |
| Shrewsbury, MA | $3,988 | $0.45 – $10,950 | 2,205 | 3 |
| Maryeville, OH | $144.16 | $144.16 – $144.16 | 2,198 | 1 |
| Rochester, PA | $42.75 | $42.75 – $42.75 | 2,192 | 1 |
| Nags Head, NC | $138.09 | $138.09 – $138.09 | 2,191 | 1 |
| West Harrison, IN | $99.75 | $89.58 – $101.67 | 2,191 | 2 |
| Leominster, MA | $29.49 | $0.00 – $83.76 | 2,189 | 6 |
| Humboldt, KS | $0.47 | $0.00 – $34.47 | 2,184 | 2 |
| Rainelle, WV | $651.50 | $651.50 – $651.50 | 2,183 | 1 |
| Northeast Harbor, ME | $172.44 | $172.44 – $172.44 | 2,183 | 1 |
| Union, SC | $48.50 | $48.50 – $48.50 | 2,181 | 1 |
| Roseau, MN | $92.54 | $92.42 – $93.65 | 2,181 | 2 |
| Whitesburg, KY | $55.99 | $53.54 – $68.41 | 2,179 | 5 |
| Allen, TX | $9.13 | $9.13 – $9.13 | 2,177 | 1 |
| Horseshoe Bend, ID | $110.71 | $110.71 – $110.71 | 2,177 | 1 |
| Brunswick, OH | $140.93 | $140.86 – $149.88 | 2,168 | 2 |
| Largo, FL | $3.84 | $0.00 – $47.33 | 2,167 | 4 |
| Greensburg, KS | $44.54 | $0.00 – $45.37 | 2,167 | 2 |
| Belmont, MA | $115.49 | $74.12 – $205.47 | 2,162 | 2 |
| Long Branch, NJ | $108.33 | $5.86 – $109.48 | 2,159 | 2 |
| Sandy Hook, CT | $145.33 | $140.90 – $163.67 | 2,158 | 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.