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 |
|---|---|---|---|---|
| Brookyln, NY | $5.24 | $5.24 – $5.24 | 1,107 | 1 |
| Poplar, MT | $0.00 | $0.00 – $0.00 | 1,107 | 1 |
| Duffield, VA | $19.56 | $10.03 – $31.97 | 1,105 | 4 |
| Pooler, GA | $135.22 | $135.22 – $135.22 | 1,105 | 1 |
| Rochelle, IL | $77.45 | $77.45 – $77.45 | 1,105 | 1 |
| Philippi, WV | $67.70 | $67.70 – $67.70 | 1,102 | 1 |
| West Liberty, OH | $66.05 | $30.76 – $85.26 | 1,095 | 3 |
| Woodbury, TN | $277.21 | $277.21 – $277.21 | 1,094 | 1 |
| Delphos, OH | $144.78 | $140.28 – $145.80 | 1,092 | 2 |
| Branford, CT | $136.04 | $132.46 – $167.42 | 1,091 | 2 |
| Fountain, CO | $161.04 | $99.87 – $380.25 | 1,091 | 2 |
| Crooksville, OH | $80.98 | $75.29 – $91.84 | 1,090 | 2 |
| Tomball, TX | $9.46 | $9.46 – $9.46 | 1,087 | 1 |
| Nelsonville, OH | $49.28 | $38.33 – $79.01 | 1,085 | 2 |
| Peyton, CO | $6.23 | $0.00 – $6.31 | 1,084 | 2 |
| Hubbard, OH | $194.56 | $194.56 – $194.56 | 1,083 | 1 |
| Sparrows Point, MD | $157.89 | $157.89 – $157.89 | 1,083 | 1 |
| Forestville, MD | $75.17 | $65.05 – $75.65 | 1,082 | 2 |
| Quincy, CA | $0.00 | $0.00 – $0.00 | 1,079 | 2 |
| Lemoyne, PA | $0.22 | $0.22 – $0.22 | 1,078 | 1 |
| Cullman, AL | $48.26 | $0.00 – $51.67 | 1,078 | 2 |
| Morona, UT | $92.68 | $92.68 – $92.68 | 1,077 | 1 |
| New Middletown, OH | $32.18 | $32.18 – $32.18 | 1,076 | 1 |
| Martinsville, IL | $548.03 | $548.03 – $548.03 | 1,073 | 1 |
| Blaine, ME | $100.50 | $100.50 – $100.50 | 1,069 | 1 |
| Hamilton, AL | $282.25 | $282.25 – $282.25 | 1,066 | 1 |
| Potsdam, NY | $115.31 | $115.31 – $115.31 | 1,062 | 1 |
| Port Barre, LA | $0.00 | $0.00 – $0.00 | 1,062 | 2 |
| Griswold, CT | $39.69 | $39.69 – $39.69 | 1,062 | 1 |
| Brawley, CA | $6.49 | $0.00 – $8.42 | 1,061 | 2 |
| Centerville, UT | $160.24 | $160.24 – $160.24 | 1,060 | 1 |
| Casa Grand, AZ | $92.15 | $92.15 – $92.15 | 1,059 | 1 |
| Van Buren, MO | $0.00 | $0.00 – $0.00 | 1,058 | 2 |
| Bethlehem, PA | $21.17 | $21.17 – $21.17 | 1,056 | 1 |
| Georgetown, SC | $57.48 | $16.93 – $61.27 | 1,053 | 2 |
| Clinton, NJ | $109.48 | $109.48 – $109.48 | 1,053 | 1 |
| Big Piney, WY | $62.64 | $62.64 – $62.64 | 1,052 | 1 |
| Millbury, MA | $57.46 | $37.23 – $120.00 | 1,051 | 5 |
| Granite Falls, WA | $54.16 | $54.16 – $54.16 | 1,047 | 1 |
| Sheffield Village, OH | $55.69 | $39.04 – $90.83 | 1,045 | 2 |
| West Babylon, NY | $2.41 | $2.23 – $3.30 | 1,044 | 2 |
| Sparta, NC | $26.13 | $26.13 – $26.13 | 1,042 | 1 |
| Wood River, IL | $97.68 | $97.68 – $97.68 | 1,042 | 1 |
| Afton, OK | $30.26 | $0.00 – $67.52 | 1,042 | 11 |
| Waupun, WI | $29.01 | $23.31 – $41.90 | 1,038 | 2 |
| Putney, VT | $88.00 | $88.00 – $88.00 | 1,038 | 1 |
| Wallingford, CT | $0.00 | $0.00 – $0.00 | 1,036 | 1 |
| Oxford, NJ | $97.41 | $97.41 – $97.41 | 1,035 | 1 |
| Sandwich, IL | $86.85 | $86.85 – $86.85 | 1,032 | 1 |
| Las Animas, CO | $50.33 | $50.33 – $50.33 | 1,032 | 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.