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 |
|---|---|---|---|---|
| Monrovia, CA | $0.01 | $0.01 – $0.01 | 1,881 | 1 |
| Weston, FL | $2.78 | $1.66 – $12.41 | 1,880 | 2 |
| Spring Hill, FL | $37.70 | $12.94 – $61.60 | 1,879 | 2 |
| Gouverneur, NY | $100.70 | $100.70 – $100.70 | 1,875 | 1 |
| Batavia, IL | $109.78 | $109.78 – $109.78 | 1,870 | 1 |
| Clinton, IA | $0.00 | $0.00 – $0.00 | 1,866 | 1 |
| Malden, WV | $51.17 | $51.17 – $51.17 | 1,860 | 1 |
| Ipswich, MA | $1.17 | $1.17 – $1.17 | 1,858 | 1 |
| Susanville, CA | $53.22 | $53.22 – $53.22 | 1,856 | 1 |
| El Rito, NM | $195.38 | $195.38 – $195.38 | 1,855 | 1 |
| Martinez, CA | $110.46 | $0.00 – $2,192 | 1,854 | 4 |
| Far Rockaway, NY | $52.44 | $0.00 – $52.78 | 1,853 | 2 |
| Leesburg, OH | $94.99 | $94.99 – $94.99 | 1,853 | 1 |
| Cuba, NM | $7.10 | $7.10 – $7.10 | 1,851 | 1 |
| Dinuba, CA | $20.18 | $20.18 – $20.18 | 1,851 | 1 |
| Mccomb, MS | $15.82 | $13.76 – $17.14 | 1,847 | 3 |
| Richmond, ME | $81.65 | $81.17 – $82.63 | 1,842 | 2 |
| Castalia, OH | $86.70 | $86.70 – $86.70 | 1,841 | 1 |
| Snohomish, WA | $49.09 | $0.00 – $141.66 | 1,839 | 6 |
| Canton, OK | $48.96 | $48.96 – $48.96 | 1,837 | 1 |
| American Fork, UT | $35.98 | $35.98 – $35.98 | 1,835 | 1 |
| Weber City, VA | $112.01 | $33.25 – $337.79 | 1,829 | 2 |
| Midland, TX | $62.27 | $41.02 – $62.62 | 1,828 | 2 |
| Greenleaf, ID | $324.87 | $324.87 – $324.87 | 1,828 | 1 |
| Wellsboro, PA | $76.52 | $76.52 – $76.52 | 1,825 | 1 |
| Center, TX | $8.90 | $8.90 – $8.90 | 1,825 | 1 |
| Eagle River, AK | $115.60 | $0.00 – $296.30 | 1,825 | 4 |
| Lordsburg, NM | $171.54 | $50.46 – $240.92 | 1,818 | 4 |
| South Pasadena, CA | $143.75 | $0.00 – $243.80 | 1,813 | 3 |
| Maryville, TN | $121.67 | $105.08 – $303.89 | 1,809 | 2 |
| Sunnyside, WA | $35.49 | $0.00 – $88.84 | 1,807 | 4 |
| Bala Cynwyd, PA | $105.23 | $95.78 – $108.92 | 1,807 | 2 |
| Hendersonville, TN | $247.71 | $0.00 – $263.97 | 1,806 | 4 |
| John Day, OR | $24.02 | $2.52 – $53.69 | 1,805 | 8 |
| Odessa, TX | $0.00 | $0.00 – $0.00 | 1,803 | 2 |
| Payson, UT | $40.27 | $40.27 – $40.27 | 1,803 | 1 |
| Madison, WV | $22.66 | $22.14 – $22.93 | 1,796 | 3 |
| Alturas, CA | $121.77 | $121.77 – $121.77 | 1,796 | 1 |
| Kiel, WI | $18.00 | $7.10 – $34.09 | 1,793 | 5 |
| Voorhees, NJ | $84.24 | $61.36 – $109.48 | 1,789 | 3 |
| Waddell, AZ | $87.35 | $62.62 – $90.08 | 1,789 | 2 |
| Hudson, WI | $154.41 | $21.04 – $2,268 | 1,786 | 2 |
| Ogema, MN | $416.97 | $416.97 – $416.97 | 1,785 | 1 |
| Raymond, WA | $48.31 | $0.00 – $201.62 | 1,783 | 10 |
| High Ridge, MO | $0.00 | $0.00 – $0.00 | 1,782 | 2 |
| Moses Lakes, WA | $0.49 | $0.49 – $0.49 | 1,781 | 1 |
| Monrovia, IN | $71.90 | $71.90 – $71.90 | 1,781 | 1 |
| Marshfield, ME | $74.79 | $52.22 – $77.25 | 1,777 | 3 |
| Canby, OR | $103.37 | $0.00 – $115.87 | 1,774 | 3 |
| Brooksville, FL | $103.61 | $103.61 – $103.61 | 1,771 | 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.