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 |
|---|---|---|---|---|
| Imboden, AR | $93.39 | $93.39 – $93.39 | 849 | 1 |
| Colony, OK | $67.94 | $67.94 – $67.94 | 849 | 1 |
| Verona, WI | $8.69 | $8.69 – $8.69 | 847 | 1 |
| North Brunswick, NJ | $103.23 | $46.06 – $120.93 | 846 | 3 |
| Lic, NY | $2.58 | $2.58 – $2.58 | 843 | 1 |
| Snellville, GA | $28.59 | $28.59 – $28.59 | 839 | 1 |
| Ohio City, OH | $35.69 | $35.69 – $35.69 | 839 | 1 |
| Fort Campbell, KY | $75.84 | $2.67 – $78.28 | 837 | 2 |
| Canton, SD | $1,208 | $406.08 – $2,395 | 836 | 2 |
| Malad City, ID | $73.99 | $48.84 – $82.46 | 829 | 2 |
| Mc Bain, MI | $12.17 | $12.17 – $12.17 | 829 | 1 |
| Marion, VA | $4.58 | $4.31 – $4.79 | 828 | 3 |
| Lowell, OR | $14.81 | $14.81 – $14.81 | 826 | 1 |
| Carlton, MN | $2,618 | $2,618 – $2,618 | 825 | 1 |
| South Chesterfield, VA | $223.57 | $223.57 – $223.57 | 823 | 1 |
| Boca Raton, FL | $79.23 | $12.90 – $136.09 | 821 | 4 |
| Lake Milton, OH | $205.83 | $205.83 – $205.83 | 821 | 1 |
| Sneads Ferry, NC | $7.64 | $7.64 – $7.64 | 819 | 1 |
| Keyport, NJ | $378.47 | $378.47 – $378.47 | 818 | 1 |
| Los Altos Hills, CA | $0.00 | $0.00 – $0.00 | 817 | 1 |
| Moody Afb, GA | $24.17 | $24.17 – $24.17 | 817 | 1 |
| Peach Springs, AZ | $26.26 | $26.26 – $26.26 | 815 | 1 |
| Brookfield, WI | $18.95 | $1.18 – $33.63 | 814 | 3 |
| Laramie, WY | $130.85 | $0.00 – $149.93 | 813 | 5 |
| San Juan, TX | $113.86 | $113.86 – $113.86 | 813 | 1 |
| Cadiz, OH | $29.98 | $29.98 – $29.98 | 813 | 1 |
| Williamsburg, OH | $0.00 | $0.00 – $0.00 | 813 | 1 |
| Strasburg, CO | $166.03 | $0.00 – $171.11 | 809 | 2 |
| Chesterland, OH | $106.05 | $106.05 – $106.05 | 808 | 1 |
| Hebron, CT | $8.17 | $8.17 – $8.17 | 808 | 1 |
| Waynesboro, VA | $118.87 | $118.87 – $118.87 | 803 | 1 |
| Carrollton, TX | $43.51 | $12.39 – $47.56 | 799 | 2 |
| Farmingdale, ME | $80.83 | $71.50 – $89.76 | 799 | 2 |
| Chelsea, MA | $71.81 | $1.85 – $90.55 | 795 | 4 |
| Hoyleton, IL | $55.45 | $54.85 – $55.65 | 795 | 2 |
| Meraux, LA | $102.75 | $102.75 – $102.75 | 793 | 1 |
| Dorsey, IL | $20.92 | $20.92 – $20.92 | 791 | 1 |
| Wellpinit, WA | $21.95 | $21.95 – $21.95 | 788 | 1 |
| Berlin, NH | $45.79 | $35.07 – $113.30 | 788 | 2 |
| Kingston, WA | $30.97 | $30.97 – $30.97 | 787 | 1 |
| Leadville, CO | $4.53 | $0.00 – $10.08 | 785 | 3 |
| Fort Fairfield, ME | $71.86 | $54.60 – $89.94 | 784 | 2 |
| Hope, AR | $15.16 | $15.16 – $15.16 | 782 | 1 |
| Frederick, CO | $170.25 | $52.69 – $194.18 | 782 | 4 |
| Rainer, OR | $10.04 | $10.04 – $10.04 | 775 | 1 |
| College Station, TX | $541.30 | $541.30 – $541.30 | 767 | 1 |
| Girdler, KY | $30.71 | $30.71 – $30.71 | 767 | 1 |
| Freehold, NJ | $103.58 | $51.50 – $109.48 | 766 | 3 |
| Torreon, NM | $6.51 | $6.51 – $6.51 | 766 | 1 |
| Columbia, LA | $4.84 | $4.84 – $4.84 | 765 | 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.