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 |
|---|---|---|---|---|
| Half Moon Bay, CA | $170.81 | $170.81 – $170.81 | 314 | 1 |
| Bow, WA | $45.80 | $45.80 – $45.80 | 314 | 1 |
| Sunset Beach, NC | $28.17 | $28.17 – $28.17 | 313 | 1 |
| Charlotte Hall, MD | $66.91 | $66.91 – $66.91 | 313 | 1 |
| Cle Elum, WA | $0.00 | $0.00 – $0.00 | 313 | 1 |
| Holliston, MA | $45.62 | $45.62 – $45.62 | 312 | 1 |
| Buckhorn, KY | $21.43 | $21.43 – $21.43 | 312 | 1 |
| Englewood, NJ | $132.98 | $132.98 – $132.98 | 310 | 1 |
| Sun City Center, FL | $7.52 | $7.52 – $7.52 | 310 | 1 |
| Shelby, MI | $1.16 | $1.16 – $1.16 | 309 | 1 |
| Elmira, NY | $175.60 | $175.60 – $175.60 | 308 | 1 |
| Eastman, GA | $0.00 | $0.00 – $0.00 | 307 | 1 |
| Wyoming, MI | $2.12 | $0.87 – $3.38 | 306 | 2 |
| Bloomfield, KY | $92.54 | $92.54 – $92.54 | 306 | 1 |
| Calera, OK | $65.73 | $65.73 – $65.73 | 304 | 1 |
| Humble, TX | $6.32 | $6.32 – $6.32 | 303 | 1 |
| Vernon, CT | $46.15 | $0.00 – $135.77 | 303 | 2 |
| E Liverpool, OH | $139.89 | $139.89 – $139.89 | 302 | 1 |
| New London, OH | $87.98 | $87.98 – $87.98 | 302 | 1 |
| Mayaguez, PR | $0.00 | $0.00 – $0.00 | 301 | 2 |
| Norwood, NJ | $425.00 | $425.00 – $425.00 | 301 | 1 |
| Ilwaco, WA | $8.44 | $0.00 – $11.82 | 301 | 2 |
| Forest Hill, TX | $0.00 | $0.00 – $0.00 | 301 | 1 |
| Castaner, PR | $0.00 | $0.00 – $0.00 | 300 | 5 |
| Otis, OR | $78.23 | $30.08 – $98.32 | 299 | 2 |
| Punta Gorda, FL | $70.58 | $70.58 – $70.58 | 298 | 1 |
| Windsor, VT | $88.21 | $88.21 – $88.21 | 298 | 1 |
| Banks, OR | $118.35 | $118.35 – $118.35 | 298 | 1 |
| Cottonwood, ID | $83.63 | $83.63 – $83.63 | 297 | 1 |
| Guymon, OK | $41.55 | $0.00 – $60.02 | 296 | 3 |
| Golconda, IL | $63.39 | $63.39 – $63.39 | 295 | 1 |
| Ponemah, MN | $9,456 | $8,541 – $10,636 | 293 | 2 |
| Sparta, WI | $16.61 | $16.61 – $16.61 | 291 | 1 |
| Doylestown, PA | $33.81 | $33.81 – $33.81 | 290 | 1 |
| Winooski, VT | $265.40 | $265.40 – $265.40 | 289 | 1 |
| Mineral Ridge, OH | $143.64 | $143.64 – $143.64 | 288 | 1 |
| Winlock, WA | $1.41 | $1.41 – $1.41 | 288 | 1 |
| Woodstock, AL | $52.29 | $52.29 – $52.29 | 285 | 1 |
| Center Ossipee, NH | $82.94 | $82.94 – $82.94 | 285 | 1 |
| Ely, NV | $63.93 | $37.17 – $123.88 | 284 | 4 |
| New Lebanon, OH | $67.32 | $67.32 – $67.32 | 283 | 1 |
| White Salmon, WA | $20.26 | $0.00 – $200.00 | 281 | 4 |
| Old Washington, OH | $94.89 | $94.89 – $94.89 | 280 | 1 |
| Plainfield, CT | $13.35 | $13.35 – $13.35 | 279 | 1 |
| Jasper, IN | $102.10 | $102.10 – $102.10 | 278 | 1 |
| Villa Rica, GA | $65.68 | $65.68 – $65.68 | 277 | 1 |
| Rogers, AR | $41.64 | $41.64 – $41.64 | 276 | 1 |
| Coronado, CA | $0.00 | $0.00 – $0.00 | 276 | 1 |
| Millcreek, UT | $0.00 | $0.00 – $0.00 | 276 | 1 |
| Sunnyside, UT | $184.54 | $184.54 – $184.54 | 275 | 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.