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 |
|---|---|---|---|---|
| Eagle Rock, CA | $0.00 | $0.00 – $0.00 | 70 | 1 |
| Blue Earth, MN | $674.10 | $674.10 – $674.10 | 69 | 1 |
| Martin, KY | $0.00 | $0.00 – $0.00 | 69 | 1 |
| Dexter, ME | $94.53 | $94.53 – $94.53 | 69 | 1 |
| Mosheim, TN | $6.63 | $6.63 – $6.63 | 69 | 1 |
| Belleville, WI | $16.07 | $16.07 – $16.07 | 68 | 1 |
| Hinckley, MN | $376.82 | $376.82 – $376.82 | 68 | 1 |
| Coloma, CA | $8.26 | $8.26 – $8.26 | 68 | 1 |
| Trinity, FL | $14.24 | $12.80 – $15.15 | 67 | 3 |
| Dequincy, LA | $0.00 | $0.00 – $0.00 | 67 | 1 |
| Branchburg, NJ | $34.14 | $34.14 – $34.14 | 67 | 1 |
| Flemingsburg, KY | $40.79 | $40.79 – $40.79 | 67 | 1 |
| Fairfield, CT | $168.36 | $168.36 – $168.36 | 66 | 1 |
| North Babylon, NY | $150.44 | $150.44 – $150.44 | 66 | 1 |
| Keshena, WI | $62.49 | $46.57 – $72.84 | 66 | 2 |
| Cedar Falls, IA | $23.84 | $23.84 – $23.84 | 65 | 1 |
| Chalmette, LA | $12.05 | $12.05 – $12.05 | 65 | 1 |
| Dodgeville, WI | $7.36 | $7.36 – $7.36 | 65 | 1 |
| Vacaville, CA | $140.92 | $140.92 – $140.92 | 65 | 1 |
| Raritan, NJ | $97.24 | $97.24 – $97.24 | 65 | 1 |
| Amenia, NY | $37.95 | $37.95 – $37.95 | 65 | 1 |
| Standish, MI | $34.29 | $34.29 – $34.29 | 64 | 1 |
| Harris, NY | $35.68 | $35.68 – $35.68 | 64 | 1 |
| Miami Beach, FL | $15.13 | $15.13 – $15.13 | 63 | 1 |
| Little Elm, TX | $36.01 | $36.01 – $36.01 | 63 | 1 |
| Little Egg Harbor Twp, NJ | $0.00 | $0.00 – $0.00 | 63 | 1 |
| Gresham, WI | $46.02 | $46.02 – $46.02 | 63 | 1 |
| Limon, CO | $0.00 | $0.00 – $0.00 | 62 | 1 |
| Dartmouth, MA | $0.66 | $0.66 – $0.66 | 62 | 1 |
| Allen, KY | $46.01 | $46.01 – $46.01 | 62 | 1 |
| Oceanport, NJ | $45.87 | $45.87 – $45.87 | 62 | 1 |
| Trezevant, TN | $10.39 | $10.39 – $10.39 | 62 | 1 |
| Elkhart, IN | $20.00 | $0.00 – $24.89 | 61 | 2 |
| Burns, TN | $78.13 | $78.13 – $78.13 | 61 | 1 |
| Uniontown, PA | $13.80 | $0.00 – $19.26 | 60 | 2 |
| St Johns, FL | $21.66 | $21.66 – $21.66 | 60 | 1 |
| Menahga, MN | $65.66 | $65.66 – $65.66 | 59 | 1 |
| Haggerhill, KY | $62.32 | $62.32 – $62.32 | 59 | 1 |
| White River Jct, VT | $86.67 | $86.67 – $86.67 | 59 | 1 |
| Wildomar, CA | $0.00 | $0.00 – $0.00 | 58 | 1 |
| Fairplay, CO | $47.72 | $47.72 – $47.72 | 58 | 1 |
| Elizabethton, TN | $69.21 | $69.21 – $69.21 | 58 | 1 |
| Trinidad, CO | $76.57 | $76.57 – $76.57 | 58 | 1 |
| Canton, MS | $0.00 | $0.00 – $0.00 | 58 | 1 |
| Siren, WI | $46.13 | $46.13 – $46.13 | 58 | 1 |
| Shiprock, NM | $13.24 | $13.24 – $13.24 | 58 | 1 |
| Hartford, KY | $50.01 | $22.96 – $62.19 | 58 | 2 |
| Plummer, ID | $4.55 | $4.55 – $4.55 | 58 | 1 |
| Brookfield, MO | $0.00 | $0.00 – $0.00 | 58 | 1 |
| Adelphi, MD | $41.67 | $41.67 – $41.67 | 58 | 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.