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 |
|---|---|---|---|---|
| Earlsboro, OK | $31.88 | $24.18 – $35.20 | 116 | 2 |
| Grove City, PA | $23.62 | $23.62 – $23.62 | 115 | 1 |
| Vega Baja, PR | $1.32 | $1.32 – $1.32 | 115 | 1 |
| La Habra, CA | $1.88 | $0.00 – $15.43 | 115 | 3 |
| Vincent, OH | $81.83 | $81.83 – $81.83 | 115 | 1 |
| Ellaville, GA | $0.00 | $0.00 – $0.00 | 115 | 1 |
| Wakefield, MA | $181.50 | $181.50 – $181.50 | 114 | 1 |
| Ft Greggadams, VA | $105.90 | $105.90 – $105.90 | 114 | 1 |
| Whitefield, ME | $3,986 | $3,986 – $3,986 | 114 | 1 |
| Wayne, NJ | $256.13 | $256.13 – $256.13 | 113 | 1 |
| Morton Grove, IL | $24.96 | $24.96 – $24.96 | 113 | 1 |
| Keystone Heights, FL | $37.15 | $37.15 – $37.15 | 113 | 1 |
| Galena, IL | $44.32 | $0.00 – $87.86 | 113 | 2 |
| Stanville, KY | $33.70 | $33.70 – $33.70 | 112 | 1 |
| Florham Park, NJ | $0.00 | $0.00 – $0.00 | 111 | 1 |
| Montgomery, WV | $0.00 | $0.00 – $0.00 | 111 | 1 |
| Pearl City, HI | $11.26 | $11.26 – $11.26 | 111 | 1 |
| Oak Bluffs, MA | $73.86 | $73.86 – $73.86 | 110 | 1 |
| Kingstree, SC | $47.96 | $47.96 – $47.96 | 110 | 1 |
| Fayetteville, WV | $0.00 | $0.00 – $0.00 | 110 | 3 |
| Tusculum, TN | $217.70 | $217.70 – $217.70 | 110 | 1 |
| Wernersville, PA | $90.48 | $90.48 – $90.48 | 109 | 1 |
| Weed, CA | $5.00 | $5.00 – $5.00 | 109 | 1 |
| Long Valley, NJ | $0.00 | $0.00 – $0.00 | 109 | 1 |
| Cleveland, MN | $84.32 | $84.32 – $84.32 | 109 | 1 |
| Mount Dora, FL | $12.24 | $12.24 – $12.24 | 108 | 1 |
| Collins, MS | $138.78 | $138.78 – $138.78 | 108 | 1 |
| Durham, CT | $174.92 | $174.92 – $174.92 | 108 | 1 |
| Talent, OR | $93.97 | $27.27 – $122.06 | 108 | 2 |
| Bushnell, FL | $10.25 | $10.25 – $10.25 | 107 | 1 |
| Bloomingdale, GA | $12.45 | $12.45 – $12.45 | 107 | 1 |
| Abq, NM | $79.14 | $79.14 – $79.14 | 107 | 1 |
| Tippecanoe, OH | $67.24 | $67.24 – $67.24 | 107 | 1 |
| Portage, MI | $2.32 | $0.00 – $5.86 | 106 | 3 |
| Thorp, WI | $18.78 | $18.78 – $18.78 | 106 | 1 |
| Zachary, LA | $108.51 | $108.51 – $108.51 | 105 | 1 |
| Deer Park, TX | $15.04 | $15.04 – $15.04 | 105 | 1 |
| Arnold, MD | $283.66 | $283.66 – $283.66 | 104 | 1 |
| Clarkston, GA | $0.00 | $0.00 – $0.00 | 104 | 1 |
| La Grange Park, IL | $86.54 | $86.54 – $86.54 | 104 | 1 |
| Irving, TX | $6.69 | $0.00 – $8.40 | 103 | 2 |
| Claremont, CA | $0.00 | $0.00 – $0.00 | 103 | 1 |
| Wayzata, MN | $85.15 | $85.15 – $85.15 | 103 | 1 |
| Haverstraw, NY | $34.71 | $34.71 – $34.71 | 103 | 1 |
| Warner Robins, GA | $71.71 | $71.71 – $71.71 | 102 | 1 |
| Hayden, ID | $0.94 | $0.94 – $0.94 | 101 | 1 |
| Fort Stewart, GA | $0.00 | $0.00 – $0.00 | 101 | 1 |
| Valencia, CA | $14.11 | $14.11 – $14.11 | 101 | 1 |
| Jefferson City, TN | $258.07 | $258.07 – $258.07 | 101 | 1 |
| Fort Carson, CO | $0.00 | $0.00 – $0.00 | 101 | 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.