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 |
|---|---|---|---|---|
| Murrells Inlet, SC | $49.80 | $19.12 – $50.83 | 1,994 | 3 |
| Coatesville, PA | $7.28 | $7.28 – $7.28 | 1,992 | 1 |
| Bandon, OR | $4.33 | $4.33 – $4.33 | 1,992 | 1 |
| Peru, IL | $32.69 | $32.69 – $32.69 | 1,986 | 1 |
| Oak Ridge, TN | $82.82 | $49.30 – $114.29 | 1,985 | 3 |
| Warsaw, NC | $154.35 | $154.35 – $154.35 | 1,983 | 1 |
| Burlington, MA | $23.96 | $9.58 – $30.11 | 1,975 | 2 |
| Amherst, OH | $98.43 | $35.79 – $126.93 | 1,970 | 6 |
| Edinburg, TX | $43.85 | $8.07 – $57.18 | 1,969 | 4 |
| Beavercreek, OR | $23.48 | $23.48 – $23.48 | 1,968 | 1 |
| Lehi, UT | $69.00 | $69.00 – $69.00 | 1,964 | 1 |
| Shingle Springs, CA | $117.35 | $117.35 – $117.35 | 1,962 | 1 |
| Angola, IN | $58.55 | $30.55 – $128.08 | 1,958 | 2 |
| Mexico, MO | $40.64 | $7.72 – $57.02 | 1,954 | 2 |
| Sterling, MI | $0.44 | $0.44 – $0.44 | 1,952 | 1 |
| Unity, ME | $85.41 | $85.41 – $85.41 | 1,947 | 1 |
| Encinitas, CA | $61.92 | $0.00 – $64.64 | 1,945 | 2 |
| El Dorado, AR | $79.61 | $65.90 – $105.16 | 1,943 | 11 |
| Eagle, CO | $0.00 | $0.00 – $0.00 | 1,941 | 1 |
| Santa Teresa, NM | $93.41 | $68.16 – $118.82 | 1,940 | 2 |
| Wahpeton, ND | $92.44 | $63.09 – $107.78 | 1,940 | 2 |
| Newport, AR | $36.53 | $34.24 – $59.23 | 1,938 | 2 |
| Paulding, OH | $45.20 | $24.47 – $134.80 | 1,938 | 4 |
| Somerset, PA | $56.55 | $56.55 – $56.55 | 1,936 | 1 |
| Oak Park, MI | $103.07 | $103.07 – $103.07 | 1,934 | 1 |
| Green Springs, OH | $53.66 | $38.66 – $60.86 | 1,933 | 3 |
| Quincy, WA | $0.05 | $0.05 – $0.05 | 1,930 | 1 |
| Cedartown, GA | $49.55 | $49.55 – $49.55 | 1,930 | 1 |
| Ronkonkoma, NY | $68.99 | $0.00 – $168.94 | 1,926 | 4 |
| Sugar Land, TX | $218.04 | $0.00 – $240.07 | 1,925 | 4 |
| Fairfield, IA | $38.64 | $38.64 – $38.64 | 1,925 | 1 |
| White Hall, AR | $94.04 | $33.14 – $94.55 | 1,920 | 2 |
| Buffalo Grove, IL | $124.02 | $124.02 – $124.02 | 1,919 | 1 |
| Clinton, LA | $22.11 | $21.64 – $22.67 | 1,915 | 2 |
| Rolesville, NC | $116.81 | $116.81 – $116.81 | 1,915 | 1 |
| Chesapeake Beach, MD | $59.66 | $59.66 – $59.66 | 1,914 | 1 |
| Clarkston, MI | $150.23 | $150.23 – $150.23 | 1,912 | 1 |
| Cashton, WI | $30.55 | $30.55 – $30.55 | 1,906 | 1 |
| Cumming, GA | $75.72 | $75.72 – $75.72 | 1,906 | 1 |
| Freeman Twp, ME | $142.01 | $142.01 – $142.01 | 1,906 | 1 |
| Port Deposit, MD | $72.51 | $71.79 – $74.61 | 1,904 | 2 |
| Morristown, NJ | $98.08 | $0.02 – $111.25 | 1,901 | 2 |
| Junction City, OR | $148.24 | $47.12 – $180.05 | 1,901 | 3 |
| Sacaton, AZ | $105.91 | $0.00 – $343.02 | 1,899 | 4 |
| Stockholm, ME | $105.41 | $105.41 – $105.41 | 1,899 | 1 |
| Warren, MI | $82.61 | $0.00 – $88.54 | 1,896 | 2 |
| Springfield, VT | $201.05 | $0.00 – $964.44 | 1,893 | 5 |
| Thomaston, GA | $0.00 | $0.00 – $0.00 | 1,892 | 1 |
| Tranquility, CA | $20.45 | $20.45 – $20.45 | 1,888 | 1 |
| San Anselmo, CA | $69.67 | $69.67 – $69.67 | 1,883 | 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.