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 |
|---|---|---|---|---|
| Gulfport, MS | $20.98 | $18.42 – $37.51 | 343 | 2 |
| Shenandoah, TX | $267.27 | $267.27 – $267.27 | 343 | 1 |
| Stanford, KY | $5.13 | $5.13 – $5.13 | 342 | 1 |
| Uniontown, OH | $100.15 | $0.00 – $148.44 | 341 | 4 |
| Mena, AR | $76.54 | $76.54 – $76.54 | 341 | 1 |
| Sparta, IL | $76.89 | $71.64 – $84.91 | 341 | 2 |
| Spring Valley, CA | $26.77 | $26.77 – $26.77 | 340 | 1 |
| Lenoir City, TN | $8.23 | $8.23 – $8.23 | 339 | 1 |
| Dorchester, MA | $65.39 | $0.00 – $349.19 | 338 | 4 |
| Lakeside, CA | $0.00 | $0.00 – $0.00 | 337 | 5 |
| Clayton, GA | $291.60 | $291.60 – $291.60 | 337 | 1 |
| Milton, VT | $53.86 | $53.86 – $53.86 | 337 | 1 |
| Riverbank, CA | $19.03 | $19.03 – $19.03 | 337 | 1 |
| Roseville, OH | $29.17 | $29.17 – $29.17 | 337 | 1 |
| Little Rock Afb, AR | $74.26 | $74.26 – $74.26 | 337 | 1 |
| Encino, CA | $0.00 | $0.00 – $0.00 | 336 | 2 |
| Mccleary, WA | $65.95 | $65.95 – $65.95 | 336 | 1 |
| South Toms River, NJ | $109.48 | $109.48 – $109.48 | 336 | 1 |
| Olathe, CO | $81.46 | $81.46 – $81.46 | 335 | 1 |
| Montezuma, GA | $0.00 | $0.00 – $0.00 | 335 | 1 |
| St. Ignace, MI | $86.00 | $86.00 – $86.00 | 335 | 1 |
| Leroy, MI | $6.41 | $6.41 – $6.41 | 335 | 1 |
| Secaucus, NJ | $114.95 | $114.95 – $114.95 | 334 | 1 |
| Ramona, CA | $73.23 | $0.00 – $195.08 | 333 | 3 |
| South Lake Tahoe, CA | $317.99 | $317.99 – $317.99 | 332 | 1 |
| Tawas City, MI | $53.66 | $53.23 – $54.88 | 330 | 2 |
| North Conway, NH | $83.52 | $83.52 – $83.52 | 330 | 1 |
| Cable, WI | $6.03 | $6.03 – $6.03 | 329 | 1 |
| Paramount, CA | $0.00 | $0.00 – $0.00 | 328 | 1 |
| Oologah, OH | $52.53 | $52.53 – $52.53 | 328 | 1 |
| Alpine, CA | $0.00 | $0.00 – $0.00 | 327 | 3 |
| North Arlington, NJ | $0.00 | $0.00 – $0.00 | 326 | 1 |
| Hines, OR | $1.99 | $0.73 – $2.98 | 326 | 2 |
| Klawock, AK | $790.92 | $790.92 – $790.92 | 324 | 1 |
| Mountain View, CA | $46.24 | $1.26 – $63.63 | 323 | 4 |
| Jb Andrews, MD | $0.00 | $0.00 – $0.00 | 323 | 1 |
| Star City, AR | $63.18 | $63.18 – $63.18 | 323 | 1 |
| Lindstrom, MN | $268.80 | $268.80 – $268.80 | 323 | 1 |
| Roslyn, NY | $4.50 | $4.50 – $4.50 | 322 | 1 |
| Homestead, FL | $18.12 | $11.25 – $21.11 | 320 | 3 |
| Hoodsport, WA | $141.67 | $141.67 – $141.67 | 320 | 1 |
| Clifton Park, NY | $45.69 | $45.69 – $45.69 | 319 | 1 |
| Norris, TN | $74.29 | $74.29 – $74.29 | 319 | 1 |
| W. Haverstraw, NY | $10.96 | $10.96 – $10.96 | 318 | 1 |
| Harrisville, RI | $16.15 | $16.15 – $16.15 | 318 | 1 |
| Steilacoom, WA | $77.71 | $77.71 – $77.71 | 317 | 1 |
| Mayfield Village, OH | $128.62 | $128.62 – $128.62 | 316 | 1 |
| Bayfield, WI | $37.43 | $0.00 – $39.97 | 315 | 2 |
| Van Alstyne, TX | $65.10 | $65.10 – $65.10 | 315 | 1 |
| Havelock, NC | $157.12 | $157.12 – $157.12 | 314 | 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.