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 |
|---|---|---|---|---|
| Otsego, MI | $0.00 | $0.00 – $0.00 | 243 | 1 |
| Havre, MT | $0.00 | $0.00 – $0.00 | 242 | 1 |
| Alfred, ME | $46.23 | $46.23 – $46.23 | 242 | 1 |
| West Hills, CA | $0.00 | $0.00 – $0.00 | 241 | 1 |
| Andover, MN | $153.96 | $153.39 – $159.34 | 240 | 2 |
| Point Pleasant Beach, NJ | $42.56 | $42.56 – $42.56 | 240 | 1 |
| Lake Mary, FL | $26.20 | $26.20 – $26.20 | 239 | 1 |
| Everson, WA | $78.47 | $78.47 – $78.47 | 239 | 1 |
| Whitefield, NH | $21.40 | $21.40 – $21.40 | 239 | 1 |
| Haughton, LA | $94.38 | $94.38 – $94.38 | 239 | 1 |
| San Ramon, CA | $5.85 | $3.13 – $18.93 | 238 | 2 |
| Riverside, CT | $11.28 | $11.28 – $11.28 | 238 | 1 |
| Princeton Jct, NJ | $58.20 | $58.20 – $58.20 | 238 | 1 |
| Franklin, WI | $24.55 | $18.32 – $25.09 | 237 | 2 |
| Steamboat Springs, CO | $243.37 | $75.83 – $276.23 | 237 | 3 |
| Thompsons Station, TN | $72.92 | $72.92 – $72.92 | 236 | 1 |
| Washington, ME | $78.87 | $78.87 – $78.87 | 236 | 1 |
| Waltham, MA | $3.47 | $2.50 – $6.91 | 235 | 2 |
| Rowland Heights, CA | $0.00 | $0.00 – $0.00 | 234 | 1 |
| Miami Gardens, FL | $37.34 | $35.92 – $39.44 | 232 | 2 |
| Bayamon, PR | $0.00 | $0.00 – $0.00 | 231 | 1 |
| Paris, AR | $68.63 | $68.63 – $68.63 | 231 | 1 |
| Buda, TX | $47.45 | $47.45 – $47.45 | 231 | 1 |
| Scott Air Force Base, IL | $55.81 | $55.81 – $55.81 | 231 | 1 |
| Fort Defiance, AZ | $527.70 | $527.70 – $527.70 | 230 | 1 |
| Stevenson, WA | $60.61 | $6.16 – $83.62 | 230 | 4 |
| Boulder City, NV | $24.05 | $7.69 – $27.94 | 229 | 2 |
| Arleta, CA | $0.00 | $0.00 – $0.00 | 229 | 3 |
| Los Alamos, NM | $53.29 | $21.46 – $60.47 | 228 | 2 |
| Kerman, CA | $23.16 | $23.16 – $23.16 | 228 | 1 |
| Kanab, UT | $54.31 | $54.31 – $54.31 | 228 | 1 |
| Prairie Du Chien, WI | $20.68 | $17.05 – $29.35 | 227 | 2 |
| Science Hill, KY | $52.11 | $25.95 – $61.35 | 226 | 2 |
| Holdenville, OK | $65.52 | $65.52 – $65.52 | 224 | 1 |
| Clinton, MS | $26.28 | $26.28 – $26.28 | 224 | 1 |
| Inverness, FL | $24.54 | $0.00 – $67.02 | 224 | 2 |
| Farmerville, LA | $64.98 | $60.10 – $70.62 | 224 | 2 |
| Frenchburg, KY | $17.11 | $17.11 – $17.11 | 224 | 1 |
| Ponce, PR | $0.00 | $0.00 – $0.00 | 223 | 2 |
| Center Barnstead, NH | $58.47 | $58.47 – $58.47 | 222 | 1 |
| Caguas, PR | $0.00 | $0.00 – $0.00 | 221 | 1 |
| Black Mountain, NC | $19.07 | $19.07 – $19.07 | 221 | 1 |
| Leicester, VT | $59.22 | $59.22 – $59.22 | 221 | 1 |
| Fountain Hills, AZ | $1,752 | $1,752 – $1,752 | 220 | 1 |
| North Pole, AK | $107.79 | $107.79 – $107.79 | 220 | 1 |
| Freedom, ME | $97.49 | $97.49 – $97.49 | 220 | 1 |
| Webster Springs, WV | $0.00 | $0.00 – $0.00 | 219 | 2 |
| Beaver Dam, WI | $27.40 | $22.32 – $47.37 | 219 | 3 |
| Hartville, MO | $37.42 | $37.42 – $37.42 | 219 | 1 |
| Middleburg Hts, OH | $85.15 | $85.15 – $85.15 | 218 | 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.