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 |
|---|---|---|---|---|
| Piedmont, MO | $27.95 | $27.95 – $27.95 | 2,151 | 1 |
| Searsport, ME | $80.66 | $75.77 – $85.17 | 2,150 | 3 |
| Helena, OK | $57.70 | $57.70 – $57.70 | 2,150 | 1 |
| Weiser, ID | $121.24 | $120.00 – $121.49 | 2,148 | 2 |
| Tinker Afb, OK | $65.90 | $65.90 – $65.90 | 2,142 | 1 |
| Vilonia, AR | $77.13 | $51.03 – $93.39 | 2,126 | 2 |
| Monument, CO | $110.49 | $110.49 – $110.49 | 2,119 | 1 |
| Gardiner, ME | $64.14 | $30.19 – $64.89 | 2,118 | 2 |
| Hodgenville, KY | $94.53 | $32.33 – $115.81 | 2,110 | 2 |
| Bethlehem, NH | $334.22 | $70.12 – $362.57 | 2,104 | 3 |
| Crossville, TN | $243.30 | $210.56 – $250.22 | 2,099 | 2 |
| Random Lake, WI | $33.57 | $33.57 – $33.57 | 2,098 | 1 |
| Clinton, AR | $39.64 | $27.82 – $51.94 | 2,097 | 4 |
| Shawneetown, IL | $58.72 | $58.72 – $58.72 | 2,097 | 1 |
| Lawrenceburg, TN | $50.69 | $33.21 – $76.50 | 2,095 | 2 |
| Fairfield, IL | $94.18 | $94.18 – $94.18 | 2,094 | 1 |
| Maineville, OH | $17.57 | $15.05 – $19.49 | 2,085 | 2 |
| Cairo, NY | $53.07 | $53.07 – $53.07 | 2,082 | 1 |
| Plantation, FL | $64.05 | $9.70 – $95.05 | 2,076 | 4 |
| Williamston, NC | $219.45 | $206.60 – $225.96 | 2,075 | 2 |
| Canfield, OH | $90.64 | $0.00 – $126.45 | 2,075 | 5 |
| Green Lake, WI | $33.32 | $28.49 – $33.78 | 2,075 | 2 |
| Londonderry, NH | $50.90 | $27.93 – $131.91 | 2,069 | 2 |
| Proctorville, OH | $50.33 | $0.00 – $95.76 | 2,067 | 6 |
| Winnemucca, NV | $109.81 | $0.00 – $113.06 | 2,067 | 4 |
| South Windsor, CT | $0.00 | $0.00 – $0.00 | 2,063 | 2 |
| Battle Ground, WA | $111.76 | $0.00 – $167.20 | 2,062 | 5 |
| Highland Heights, KY | $67.82 | $34.27 – $153.75 | 2,054 | 6 |
| Camden, TN | $81.29 | $81.29 – $81.29 | 2,053 | 1 |
| Skiatook, OK | $53.83 | $47.44 – $55.56 | 2,050 | 3 |
| New Richmond, WI | $36.22 | $0.00 – $50.08 | 2,044 | 3 |
| Lowell, IN | $66.27 | $66.27 – $66.27 | 2,044 | 1 |
| Beaufort, SC | $60.77 | $60.23 – $64.28 | 2,043 | 2 |
| Gautier, MS | $18.96 | $0.00 – $19.11 | 2,037 | 2 |
| Woodruff, WI | $32.34 | $31.87 – $52.63 | 2,034 | 2 |
| Bloomville, OH | $131.36 | $124.57 – $213.70 | 2,034 | 2 |
| Citrus Heights, CA | $155.80 | $0.00 – $228.68 | 2,032 | 5 |
| Morrilton, AR | $80.63 | $70.38 – $84.89 | 2,024 | 3 |
| Dickson, TN | $75.80 | $75.80 – $75.80 | 2,023 | 1 |
| Omar, WV | $121.10 | $121.10 – $121.10 | 2,023 | 1 |
| Jones, OK | $65.86 | $65.86 – $65.86 | 2,022 | 1 |
| Berlin Heights, OH | $141.31 | $141.31 – $141.31 | 2,021 | 1 |
| Muskegon Heights, MI | $19.00 | $19.00 – $19.00 | 2,015 | 1 |
| Brookfield, CT | $3.02 | $0.00 – $168.80 | 2,011 | 2 |
| Everett, MA | $1.57 | $1.57 – $1.57 | 2,011 | 1 |
| Fayetteville, AR | $142.75 | $0.00 – $662.50 | 2,010 | 8 |
| Lancaster, WI | $32.80 | $29.88 – $37.43 | 2,010 | 3 |
| Prince George, VA | $41.45 | $1.63 – $136.87 | 2,009 | 5 |
| Tifton, GA | $0.00 | $0.00 – $0.00 | 2,008 | 3 |
| Greenbrae, CA | $302.08 | $0.00 – $311.29 | 1,995 | 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.