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 |
|---|---|---|---|---|
| Jackson, KY | $47.92 | $2.57 – $95.53 | 1,771 | 9 |
| Lusby, MD | $65.88 | $65.88 – $65.88 | 1,771 | 1 |
| Kahoka, MO | $0.00 | $0.00 – $0.00 | 1,764 | 1 |
| Pembroke, NC | $128.20 | $0.00 – $186.18 | 1,763 | 3 |
| Nesconset, NY | $2.32 | $0.00 – $2.36 | 1,762 | 2 |
| Ft Wright, KY | $18.94 | $18.94 – $18.94 | 1,761 | 1 |
| Brandenburg, KY | $21.85 | $20.91 – $23.54 | 1,760 | 2 |
| Newalla, OK | $43.69 | $43.33 – $47.21 | 1,758 | 2 |
| Livingston, NJ | $20.55 | $16.86 – $311.36 | 1,757 | 2 |
| East Hazel Crest, IL | $42.30 | $42.30 – $42.30 | 1,755 | 1 |
| Sawyer, MN | $3,276 | $3,276 – $3,276 | 1,754 | 1 |
| De Kalb, TX | $68.80 | $68.80 – $68.80 | 1,752 | 1 |
| Wister, OK | $68.18 | $63.64 – $68.26 | 1,752 | 2 |
| Round Rock, TX | $72.12 | $72.12 – $72.12 | 1,751 | 1 |
| Guadalupe, AZ | $0.00 | $0.00 – $0.00 | 1,749 | 1 |
| Hazleton, PA | $40.78 | $34.68 – $63.78 | 1,748 | 3 |
| Fort Bragg, CA | $99.65 | $99.65 – $99.65 | 1,746 | 1 |
| Stonewall, OK | $70.36 | $70.36 – $70.36 | 1,746 | 1 |
| East Rockaway, NY | $0.00 | $0.00 – $0.00 | 1,741 | 2 |
| Exton, PA | $63.64 | $60.45 – $92.36 | 1,740 | 2 |
| Melville, NY | $176.68 | $56.24 – $180.26 | 1,733 | 2 |
| Port St Lucie, FL | $8.57 | $1.01 – $10.24 | 1,733 | 4 |
| Washington, IN | $48.26 | $23.56 – $51.00 | 1,730 | 2 |
| Crandon, WI | $39.51 | $16.93 – $73.34 | 1,729 | 4 |
| Lytle, TX | $66.41 | $66.41 – $66.41 | 1,726 | 1 |
| North Branch, MN | $179.78 | $65.31 – $195.53 | 1,720 | 2 |
| Douglass Hills, KY | $32.74 | $32.74 – $32.74 | 1,720 | 1 |
| Camas, WA | $44.84 | $44.84 – $44.84 | 1,714 | 1 |
| Draper, UT | $103.64 | $103.64 – $103.64 | 1,706 | 1 |
| Fair Oaks, CA | $242.54 | $0.00 – $360.63 | 1,704 | 2 |
| Mt Sterling, KY | $49.98 | $18.43 – $76.75 | 1,704 | 5 |
| Greenville, RI | $203.51 | $203.51 – $203.51 | 1,702 | 1 |
| Sutherlin, OR | $60.07 | $59.35 – $87.61 | 1,697 | 2 |
| Crescent, OK | $69.07 | $69.07 – $69.07 | 1,695 | 1 |
| Walton, NY | $138.59 | $138.59 – $138.59 | 1,694 | 1 |
| Sitka, AK | $355.84 | $89.54 – $533.58 | 1,691 | 5 |
| Tehachapi, CA | $69.28 | $0.00 – $276.80 | 1,690 | 2 |
| New Philadephia, OH | $80.80 | $80.80 – $80.80 | 1,690 | 1 |
| Milan, TN | $32.19 | $32.19 – $32.19 | 1,684 | 1 |
| Litchfield, MN | $1,881 | $1,881 – $1,881 | 1,683 | 1 |
| Brasstown, NC | $57.78 | $57.78 – $57.78 | 1,681 | 1 |
| Sycamore, IL | $53.21 | $53.21 – $53.21 | 1,675 | 1 |
| Kew Gardens, NY | $17.44 | $0.25 – $56.33 | 1,671 | 7 |
| Pittsfield, ME | $68.32 | $68.32 – $68.32 | 1,671 | 1 |
| Robbinsville, NJ | $39.43 | $39.43 – $39.43 | 1,670 | 1 |
| O Fallon, IL | $35.39 | $14.37 – $86.91 | 1,669 | 3 |
| Cedar City, UT | $120.55 | $106.71 – $683.96 | 1,668 | 2 |
| Marion, AR | $101.72 | $100.39 – $108.79 | 1,663 | 2 |
| West Peoria, IL | $87.51 | $87.51 – $87.51 | 1,662 | 1 |
| Terrytown, LA | $29.04 | $0.00 – $52.66 | 1,661 | 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.