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 |
|---|---|---|---|---|
| Mt Vernon, KY | $42.46 | $42.46 – $42.46 | 1,416 | 1 |
| Independence, KY | $14.27 | $14.27 – $14.27 | 1,415 | 1 |
| Nevada City, CA | $71.17 | $0.00 – $85.70 | 1,415 | 3 |
| Glendale, WI | $19.12 | $0.00 – $47.23 | 1,410 | 6 |
| Columbus, KS | $62.81 | $0.00 – $67.46 | 1,409 | 2 |
| Petrolia, PA | $140.53 | $140.53 – $140.53 | 1,409 | 1 |
| Williamsburg, KY | $35.91 | $13.66 – $40.25 | 1,405 | 2 |
| Oconomowoc, WI | $35.10 | $2.03 – $36.94 | 1,403 | 4 |
| Bluffdale, UT | $54.40 | $54.40 – $54.40 | 1,395 | 1 |
| South Plainfield, NJ | $149.97 | $120.81 – $1,161 | 1,392 | 2 |
| Wolfeboro, NH | $110.37 | $110.37 – $110.37 | 1,392 | 1 |
| Milton Freewater, OR | $2.73 | $0.99 – $74.20 | 1,392 | 3 |
| Heber Springs, AR | $83.09 | $83.09 – $83.09 | 1,391 | 1 |
| Parsons, WV | $0.00 | $0.00 – $0.00 | 1,391 | 1 |
| Ashburn, GA | $0.00 | $0.00 – $0.00 | 1,388 | 1 |
| Chester, SC | $39.38 | $35.87 – $48.48 | 1,387 | 2 |
| Fort Sill, OK | $52.05 | $10.08 – $70.83 | 1,386 | 6 |
| Oxon Hill, MD | $77.14 | $0.35 – $96.51 | 1,386 | 7 |
| Brookline, MA | $35.89 | $0.00 – $47.57 | 1,385 | 4 |
| Rich, VA | $16.48 | $16.48 – $16.48 | 1,384 | 1 |
| Cornelius, NC | $1.59 | $1.59 – $1.59 | 1,383 | 1 |
| Willard, OH | $170.65 | $20.39 – $291.85 | 1,382 | 3 |
| Selmer, TN | $277.69 | $277.69 – $277.69 | 1,379 | 1 |
| Fordyce, AR | $90.52 | $90.52 – $90.52 | 1,378 | 1 |
| Munster, IN | $256.45 | $5.00 – $260.35 | 1,377 | 2 |
| Glen Oaks, NY | $70.15 | $63.90 – $97.72 | 1,373 | 3 |
| Seaman, OH | $0.00 | $0.00 – $0.00 | 1,372 | 1 |
| San Carlos, CA | $85.48 | $23.82 – $91.96 | 1,366 | 2 |
| Brecksville, OH | $115.94 | $0.00 – $117.06 | 1,364 | 2 |
| Fresh Meadows, NY | $25.21 | $0.00 – $46.86 | 1,358 | 4 |
| Harlan, KY | $41.62 | $29.71 – $52.42 | 1,356 | 3 |
| Comanche, OK | $50.33 | $50.33 – $50.33 | 1,354 | 1 |
| Aurora, MN | $1,959 | $1,959 – $1,959 | 1,353 | 1 |
| Delavan, WI | $34.15 | $34.15 – $34.15 | 1,353 | 1 |
| Burbank, IL | $67.69 | $67.69 – $67.69 | 1,352 | 1 |
| Walterboro, SC | $77.85 | $77.85 – $77.85 | 1,351 | 1 |
| Huntington Park, CA | $21.64 | $0.00 – $120.04 | 1,351 | 4 |
| Monona, WI | $32.61 | $4.15 – $34.44 | 1,347 | 4 |
| Wickenburg, AZ | $0.00 | $0.00 – $0.00 | 1,337 | 1 |
| Ladysmith, WI | $37.28 | $6.53 – $47.42 | 1,335 | 2 |
| North Chicago, IL | $46.57 | $46.57 – $46.57 | 1,331 | 1 |
| Riverview, FL | $2.44 | $0.48 – $6.63 | 1,329 | 4 |
| Grafton, OH | $127.11 | $127.11 – $127.11 | 1,323 | 1 |
| Moroni, UT | $128.33 | $0.00 – $134.75 | 1,321 | 3 |
| Atco, NJ | $109.42 | $109.42 – $109.42 | 1,321 | 1 |
| Simpsonville, SC | $52.49 | $23.84 – $53.02 | 1,320 | 3 |
| The Villages, FL | $3.88 | $1.98 – $11.63 | 1,318 | 2 |
| Erie, PA | $1,165 | $106.18 – $1,231 | 1,316 | 2 |
| Mineola, NY | $125.41 | $125.41 – $125.41 | 1,314 | 1 |
| Amesbury, MA | $32.95 | $31.32 – $38.30 | 1,313 | 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.