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 |
|---|---|---|---|---|
| Kihei, HI | $128.93 | $128.93 – $128.93 | 915 | 1 |
| Heber City, UT | $11.20 | $11.20 – $11.20 | 915 | 1 |
| Wynne, AR | $83.69 | $83.69 – $83.69 | 915 | 1 |
| Park Forest, IL | $51.62 | $44.96 – $91.02 | 914 | 2 |
| Fort Walton Beach, FL | $14.56 | $14.10 – $15.39 | 909 | 2 |
| Willard, NC | $160.86 | $160.86 – $160.86 | 908 | 1 |
| Windsor, NC | $10.77 | $10.77 – $10.77 | 905 | 1 |
| Stevensville, MI | $258.86 | $258.86 – $258.86 | 905 | 1 |
| Bar Harbor, ME | $77.54 | $53.44 – $83.57 | 904 | 2 |
| Nassau, NY | $48.94 | $48.94 – $48.94 | 904 | 1 |
| Thornville, OH | $132.30 | $20.78 – $145.24 | 903 | 3 |
| Roy, UT | $123.76 | $123.76 – $123.76 | 903 | 1 |
| Bel Alton, MD | $50.58 | $50.58 – $50.58 | 902 | 1 |
| Madison, NC | $104.00 | $104.00 – $104.00 | 901 | 1 |
| Tokeland, WA | $37.16 | $37.16 – $37.16 | 901 | 1 |
| Fountain Valley, CA | $8.90 | $0.00 – $28.65 | 898 | 7 |
| La Pine, OR | $118.10 | $0.00 – $157.25 | 895 | 7 |
| Lauderdale Lakes, FL | $66.42 | $66.42 – $66.42 | 893 | 1 |
| Maple Lake, MN | $959.78 | $959.78 – $959.78 | 889 | 1 |
| Bloomfield, IN | $0.84 | $0.84 – $0.84 | 888 | 1 |
| Redwood Falls, MN | $43.45 | $43.45 – $43.45 | 884 | 1 |
| Malone, NY | $56.54 | $44.40 – $66.31 | 884 | 2 |
| Clinton, IL | $116.34 | $116.34 – $116.34 | 882 | 1 |
| Kapolei, HI | $57.79 | $57.79 – $57.79 | 882 | 1 |
| Eau Claire, MI | $1.80 | $1.80 – $1.80 | 881 | 1 |
| Gillette, WY | $86.44 | $0.00 – $93.91 | 880 | 2 |
| Tilton, NH | $72.47 | $38.62 – $103.79 | 880 | 2 |
| York, PA | $98.67 | $22.76 – $133.85 | 876 | 3 |
| Grand Haven, MI | $108.47 | $81.72 – $112.24 | 876 | 2 |
| Newport, KY | $69.01 | $13.25 – $106.43 | 876 | 5 |
| Millersville, MD | $53.15 | $16.56 – $139.31 | 873 | 3 |
| Moorestown, NJ | $81.23 | $81.23 – $81.23 | 872 | 1 |
| Morrill, ME | $67.91 | $34.18 – $95.83 | 871 | 3 |
| Barnet, VT | $32.77 | $32.77 – $32.77 | 870 | 1 |
| Mcpherson, KS | $62.66 | $62.66 – $62.66 | 869 | 1 |
| Orland Park, IL | $22.80 | $22.80 – $22.80 | 868 | 1 |
| Redondo Beach, CA | $0.00 | $0.00 – $0.00 | 867 | 1 |
| Eastvale, CA | $0.00 | $0.00 – $0.00 | 867 | 5 |
| Hampton, SC | $78.48 | $78.48 – $78.48 | 866 | 1 |
| Lake Hughes, CA | $124.86 | $124.86 – $124.86 | 865 | 1 |
| Clarksville, AR | $88.19 | $65.38 – $94.50 | 864 | 3 |
| Blaine, MN | $125.40 | $125.40 – $125.40 | 861 | 1 |
| Painsville, OH | $131.29 | $131.29 – $131.29 | 859 | 1 |
| Dunnellon, FL | $67.86 | $67.86 – $67.86 | 857 | 1 |
| South Euclid, OH | $53.54 | $33.96 – $99.99 | 855 | 3 |
| Stuttgart, AR | $45.42 | $45.42 – $45.42 | 855 | 1 |
| Upton, MA | $53.36 | $53.36 – $53.36 | 853 | 1 |
| Evans, CO | $150.79 | $0.00 – $229.90 | 849 | 6 |
| Great Barrington, MA | $54.29 | $47.65 – $68.44 | 849 | 3 |
| Menifee, CA | $0.00 | $0.00 – $0.00 | 849 | 4 |
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.