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 |
|---|---|---|---|---|
| Winfield, KS | $69.38 | $54.77 – $133.07 | 150 | 2 |
| Diamond Bar, CA | $0.00 | $0.00 – $0.00 | 150 | 1 |
| Georgetown, GA | $0.00 | $0.00 – $0.00 | 150 | 1 |
| Overgaard, AZ | $0.00 | $0.00 – $0.00 | 149 | 1 |
| Eureka, IL | $85.81 | $85.81 – $85.81 | 149 | 1 |
| Saint Francis, MN | $72.95 | $72.95 – $72.95 | 148 | 1 |
| Cando, ND | $219.24 | $219.24 – $219.24 | 148 | 1 |
| Belle, WV | $0.00 | $0.00 – $0.00 | 148 | 1 |
| Alamo, GA | $0.07 | $0.07 – $0.07 | 148 | 1 |
| Lawrence, NY | $56.78 | $56.78 – $56.78 | 147 | 1 |
| Washougal, WA | $120.70 | $120.70 – $120.70 | 147 | 1 |
| Oberlin, OH | $15.59 | $15.59 – $15.59 | 146 | 1 |
| Wallace, NC | $210.79 | $210.79 – $210.79 | 146 | 1 |
| Wales, MA | $48.68 | $48.68 – $48.68 | 146 | 1 |
| Cartwright, OK | $56.29 | $56.29 – $56.29 | 146 | 1 |
| Hollis, OK | $57.83 | $57.83 – $57.83 | 145 | 1 |
| Austell, GA | $72.38 | $72.38 – $72.38 | 145 | 1 |
| Iselin, NJ | $4.25 | $4.25 – $4.25 | 145 | 1 |
| Winner, SD | $175.97 | $175.97 – $175.97 | 145 | 1 |
| Severn, MD | $74.39 | $74.39 – $74.39 | 145 | 1 |
| Canaan, ME | $102.71 | $102.71 – $102.71 | 145 | 1 |
| Monsey, NY | $103.31 | $103.31 – $103.31 | 144 | 1 |
| Sidney, MT | $43.54 | $43.54 – $43.54 | 144 | 1 |
| Colchester, CT | $131.73 | $131.73 – $131.73 | 144 | 1 |
| Pawnee, OK | $58.51 | $58.51 – $58.51 | 144 | 1 |
| Swannanoa, NC | $119.05 | $119.05 – $119.05 | 144 | 1 |
| Jacksonville, TX | $12.74 | $12.74 – $12.74 | 143 | 1 |
| Cornettsville, KY | $59.48 | $59.48 – $59.48 | 143 | 1 |
| Etowah, TN | $303.50 | $303.50 – $303.50 | 143 | 1 |
| Elmhurst, IL | $39.66 | $0.00 – $56.32 | 142 | 2 |
| Morton, WA | $112.72 | $112.72 – $112.72 | 142 | 1 |
| Boston, KY | $68.20 | $68.20 – $68.20 | 142 | 1 |
| Porter, ME | $51.36 | $51.36 – $51.36 | 141 | 1 |
| Canaan, NH | $104.12 | $104.12 – $104.12 | 140 | 1 |
| District Hts, MD | $42.61 | $42.61 – $42.61 | 140 | 1 |
| Garden Valley, ID | $128.70 | $128.70 – $128.70 | 139 | 1 |
| Tipton, IN | $12.50 | $12.50 – $12.50 | 139 | 1 |
| San Juan Capistrano, CA | $0.00 | $0.00 – $0.00 | 139 | 2 |
| Athens, TX | $58.96 | $58.96 – $58.96 | 138 | 1 |
| Demorest, GA | $35.97 | $35.97 – $35.97 | 138 | 1 |
| Avon Lake, OH | $65.13 | $65.13 – $65.13 | 138 | 1 |
| Ringoes, NJ | $4.25 | $4.25 – $4.25 | 138 | 1 |
| Pasadenta, TX | $260.58 | $260.58 – $260.58 | 137 | 1 |
| Spotsylvania, VA | $78.00 | $78.00 – $78.00 | 136 | 1 |
| Sandy Hook, KY | $120.88 | $120.88 – $120.88 | 136 | 1 |
| Lv, NV | $145.83 | $145.83 – $145.83 | 136 | 1 |
| Oneill, NE | $54.60 | $25.41 – $69.20 | 135 | 2 |
| Gettysburg, PA | $147.64 | $147.64 – $147.64 | 134 | 1 |
| Freedom, CA | $19.96 | $15.56 – $36.00 | 133 | 3 |
| Marshfield, MO | $0.00 | $0.00 – $0.00 | 132 | 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.