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 |
|---|---|---|---|---|
| Anadarko, OK | $41.20 | $41.20 – $41.20 | 169 | 1 |
| Davie, FL | $10.89 | $9.26 – $11.06 | 168 | 2 |
| Gladstone, MO | $0.00 | $0.00 – $0.00 | 168 | 1 |
| Vandergrift, PA | $0.13 | $0.13 – $0.13 | 168 | 1 |
| Madison, OH | $110.69 | $104.63 – $113.12 | 168 | 2 |
| Highland, CA | $0.00 | $0.00 – $0.00 | 168 | 1 |
| Belmont, OH | $60.69 | $18.34 – $66.41 | 168 | 2 |
| Fernandina Beach, FL | $22.43 | $22.43 – $22.43 | 167 | 1 |
| Cochran, GA | $0.00 | $0.00 – $0.00 | 167 | 1 |
| Mount Pleasant, SC | $117.38 | $117.38 – $117.38 | 164 | 1 |
| Palm Harbor, FL | $0.00 | $0.00 – $0.00 | 164 | 1 |
| New Kensington, PA | $6.63 | $6.63 – $6.63 | 164 | 1 |
| Eureka, MT | $46.00 | $46.00 – $46.00 | 164 | 1 |
| Capitol Heights, MD | $72.19 | $72.19 – $72.19 | 164 | 1 |
| Medway, ME | $52.95 | $52.95 – $52.95 | 164 | 1 |
| Canandaigua, NY | $9.71 | $9.71 – $9.71 | 163 | 1 |
| Papillion, NE | $58.88 | $58.88 – $58.88 | 163 | 1 |
| Yellow Springs, OH | $50.10 | $0.00 – $106.05 | 163 | 2 |
| Crestview, FL | $21.04 | $13.89 – $21.99 | 162 | 2 |
| Wise, VA | $21.93 | $21.93 – $21.93 | 162 | 1 |
| Willowick, OH | $11.97 | $11.97 – $11.97 | 162 | 1 |
| Hunker, PA | $0.00 | $0.00 – $0.00 | 162 | 1 |
| Fayetteville, NY | $158.10 | $158.10 – $158.10 | 160 | 1 |
| Middle River, MD | $89.60 | $89.60 – $89.60 | 159 | 1 |
| Versailles, KY | $17.38 | $17.38 – $17.38 | 158 | 1 |
| Byesville, OH | $19.66 | $19.66 – $19.66 | 158 | 1 |
| Kittery Point, ME | $59.78 | $59.78 – $59.78 | 158 | 1 |
| Appleton, ME | $100.11 | $100.11 – $100.11 | 158 | 1 |
| Youngsville, LA | $1.10 | $1.10 – $1.10 | 157 | 1 |
| Haysi, VA | $21.08 | $21.08 – $21.08 | 156 | 1 |
| Neptune City, NJ | $80.71 | $0.00 – $109.48 | 156 | 2 |
| Ogden, IL | $136.55 | $136.55 – $136.55 | 156 | 1 |
| Beliot, WI | $17.94 | $17.94 – $17.94 | 156 | 1 |
| Richardson, TX | $7.90 | $7.90 – $7.90 | 155 | 1 |
| Orinda, CA | $4.49 | $4.49 – $4.49 | 155 | 1 |
| Belleview, FL | $16.94 | $16.94 – $16.94 | 154 | 1 |
| Krebs, OK | $17.39 | $17.39 – $17.39 | 154 | 1 |
| Belfair, WA | $7.69 | $0.00 – $20.28 | 153 | 2 |
| Newland, NC | $19.97 | $19.97 – $19.97 | 153 | 1 |
| North Fort Myers, FL | $0.00 | $0.00 – $0.00 | 153 | 1 |
| Wilmore, KY | $73.93 | $73.93 – $73.93 | 153 | 1 |
| Sciotoville, OH | $53.98 | $53.98 – $53.98 | 153 | 1 |
| Calumet, OK | $68.01 | $68.01 – $68.01 | 153 | 1 |
| Ontario, OH | $19.41 | $18.43 – $21.71 | 152 | 3 |
| Morgantown, KY | $27.44 | $27.44 – $27.44 | 152 | 1 |
| Manchester, MD | $191.06 | $191.06 – $191.06 | 152 | 1 |
| Alvaton, KY | $37.89 | $21.30 – $65.19 | 152 | 3 |
| Sweden, ME | $93.14 | $93.14 – $93.14 | 152 | 1 |
| Neillsville, WI | $41.34 | $41.34 – $41.34 | 151 | 1 |
| Decorah, IA | $0.00 | $0.00 – $0.00 | 150 | 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.