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 |
|---|---|---|---|---|
| Wilder, VT | $100.62 | $100.62 – $100.62 | 604 | 1 |
| Silverdale, WA | $68.90 | $0.00 – $150.20 | 599 | 4 |
| Rockwall, TX | $55.25 | $55.25 – $55.25 | 596 | 1 |
| Escalante, UT | $130.72 | $130.72 – $130.72 | 596 | 1 |
| Dodge City, KS | $72.75 | $72.75 – $72.75 | 595 | 1 |
| North Miami, FL | $7.02 | $0.00 – $14.74 | 592 | 3 |
| Olympia Fields, IL | $112.00 | $112.00 – $112.00 | 592 | 1 |
| Edgewood, NM | $80.60 | $53.59 – $175.58 | 589 | 3 |
| Carlisle, OH | $147.08 | $147.08 – $147.08 | 588 | 1 |
| Asbury Park, NJ | $108.18 | $108.18 – $108.18 | 587 | 1 |
| Clermont, FL | $2.52 | $0.00 – $9.19 | 586 | 6 |
| Rumford, RI | $163.77 | $163.77 – $163.77 | 586 | 1 |
| Pleasant Prairie, WI | $19.09 | $19.09 – $19.09 | 585 | 1 |
| South El Monte, CA | $25.07 | $0.00 – $42.43 | 584 | 2 |
| East Alton, IL | $63.83 | $63.83 – $63.83 | 583 | 1 |
| Dobson, NC | $76.56 | $76.56 – $76.56 | 582 | 1 |
| Mt Pleasant, TX | $61.97 | $61.97 – $61.97 | 581 | 1 |
| Sonoma, CA | $17.66 | $7.69 – $24.00 | 580 | 5 |
| Mentor On The Lake, OH | $112.38 | $112.38 – $112.38 | 580 | 1 |
| Ham Lake, MN | $209.00 | $209.00 – $209.00 | 578 | 1 |
| Escalon, CA | $0.00 | $0.00 – $0.00 | 577 | 1 |
| Phelan, CA | $0.00 | $0.00 – $0.00 | 575 | 1 |
| Rolling Hills Estates, CA | $0.00 | $0.00 – $0.00 | 574 | 1 |
| Gold Beach, OR | $18.35 | $1.15 – $37.02 | 572 | 5 |
| Oakville, WA | $119.60 | $64.20 – $583.37 | 572 | 3 |
| Orient, OH | $72.65 | $72.65 – $72.65 | 567 | 1 |
| Marietta, GA | $0.39 | $0.39 – $0.39 | 565 | 1 |
| Pomona, NY | $37.44 | $36.23 – $78.93 | 565 | 2 |
| New London, CT | $110.63 | $58.56 – $166.07 | 563 | 3 |
| Windom, MN | $61.52 | $43.40 – $82.48 | 563 | 2 |
| Valley City, ND | $72.77 | $69.49 – $74.17 | 563 | 2 |
| Acoma, NM | $86.04 | $0.00 – $92.64 | 561 | 2 |
| Afton, MN | $82.46 | $82.46 – $82.46 | 561 | 1 |
| Perry, GA | $0.00 | $0.00 – $0.00 | 557 | 1 |
| Crisfield, MD | $179.63 | $179.63 – $179.63 | 557 | 1 |
| Blackwell, OK | $49.96 | $32.85 – $63.06 | 556 | 2 |
| Jefferson, OR | $116.82 | $45.66 – $120.31 | 556 | 2 |
| Walton, KY | $157.29 | $157.29 – $157.29 | 556 | 1 |
| Ojo Encino, NM | $10.93 | $10.93 – $10.93 | 556 | 1 |
| Bedford, TX | $56.79 | $56.79 – $56.79 | 554 | 1 |
| Raymond, NH | $59.45 | $59.45 – $59.45 | 551 | 1 |
| Accokeek, MD | $23.88 | $23.88 – $23.88 | 550 | 1 |
| Mooreland, OK | $64.47 | $64.47 – $64.47 | 550 | 1 |
| South Williamson, KY | $25.11 | $6.49 – $37.71 | 549 | 3 |
| Robbinsdale, MN | $22.39 | $22.39 – $22.39 | 549 | 1 |
| Ossining, NY | $23.52 | $23.52 – $23.52 | 548 | 1 |
| Nassawadox, VA | $42.72 | $42.72 – $42.72 | 547 | 1 |
| East Greenwich, RI | $26.60 | $26.60 – $26.60 | 547 | 1 |
| Seabrook, NJ | $2,487 | $2,487 – $2,487 | 547 | 1 |
| Mangonia Park, FL | $16.72 | $16.72 – $16.72 | 546 | 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.