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 |
|---|---|---|---|---|
| Minter, AL | $59.31 | $59.31 – $59.31 | 58 | 1 |
| Laura, OH | $16.91 | $16.91 – $16.91 | 58 | 1 |
| Pequot Lakes, MN | $142.48 | $142.48 – $142.48 | 57 | 1 |
| Clarksville, OH | $33.30 | $33.30 – $33.30 | 57 | 1 |
| Parkland, WA | $0.00 | $0.00 – $0.00 | 57 | 1 |
| Belle Chasse, LA | $55.27 | $55.27 – $55.27 | 56 | 1 |
| Stoughton, WI | $46.09 | $46.09 – $46.09 | 56 | 1 |
| Falmouth, KY | $48.70 | $48.70 – $48.70 | 56 | 1 |
| Mooresburg, TN | $100.28 | $100.28 – $100.28 | 56 | 1 |
| Suffern, NY | $38.14 | $38.14 – $38.14 | 55 | 1 |
| Walsenburg, CO | $81.64 | $81.64 – $81.64 | 55 | 1 |
| North Andover, MA | $34.77 | $12.28 – $46.63 | 55 | 2 |
| Blacklick, OH | $118.50 | $118.50 – $118.50 | 55 | 1 |
| Castlewood, VA | $126.74 | $126.74 – $126.74 | 55 | 1 |
| East Stroudsburg, PA | $3,491 | $3,491 – $3,491 | 54 | 1 |
| Northfield, OH | $155.93 | $155.93 – $155.93 | 54 | 1 |
| Ledyard, CT | $163.97 | $163.97 – $163.97 | 54 | 1 |
| Driggs, ID | $161.29 | $161.29 – $161.29 | 54 | 1 |
| Little Canada, MN | $148.31 | $148.31 – $148.31 | 54 | 1 |
| Blairstown, NJ | $66.15 | $66.15 – $66.15 | 54 | 1 |
| North Platte, NE | $181.09 | $181.09 – $181.09 | 53 | 1 |
| Niles, MI | $2.95 | $2.95 – $2.95 | 53 | 1 |
| Belmont, NC | $0.00 | $0.00 – $0.00 | 53 | 1 |
| Creedmoor, NC | $135.28 | $135.28 – $135.28 | 53 | 1 |
| Spring City, TN | $0.00 | $0.00 – $0.00 | 53 | 1 |
| Stonington, CT | $163.79 | $163.79 – $163.79 | 53 | 1 |
| Laurium, MI | $0.00 | $0.00 – $0.00 | 53 | 1 |
| Kenmore, WA | $60.21 | $60.21 – $60.21 | 52 | 1 |
| Linthicum Heights, MD | $115.04 | $81.98 – $214.22 | 52 | 2 |
| Greenacres, FL | $0.00 | $0.00 – $0.00 | 52 | 1 |
| Carpinteria, CA | $0.00 | $0.00 – $0.00 | 52 | 1 |
| Prospect, KY | $24.48 | $24.48 – $24.48 | 52 | 1 |
| Urbanna, VA | $326.50 | $326.50 – $326.50 | 52 | 1 |
| Calhan, CO | $224.74 | $224.74 – $224.74 | 52 | 1 |
| New Hartford, NY | $134.57 | $134.57 – $134.57 | 51 | 1 |
| Cabo Rojo, PR | $0.00 | $0.00 – $0.00 | 51 | 1 |
| Tappahannock, VA | $0.00 | $0.00 – $0.00 | 51 | 1 |
| Emeryville, CA | $0.00 | $0.00 – $0.00 | 51 | 1 |
| Weston, MA | $140.49 | $140.49 – $140.49 | 51 | 1 |
| Ft Carson, CO | $104.04 | $104.04 – $104.04 | 51 | 1 |
| Guanica, PR | $0.00 | $0.00 – $0.00 | 51 | 1 |
| Pacific Palisades, CA | $0.00 | $0.00 – $0.00 | 51 | 1 |
| Dunbar, WI | $8.19 | $8.19 – $8.19 | 51 | 1 |
| Fulton, NY | $10.50 | $10.50 – $10.50 | 50 | 1 |
| Occidental, CA | $24.00 | $24.00 – $24.00 | 50 | 2 |
| Bolivar, TN | $0.00 | $0.00 – $0.00 | 50 | 1 |
| Sheridan, CO | $0.00 | $0.00 – $0.00 | 50 | 1 |
| Viborg, SD | $2,189 | $2,189 – $2,189 | 50 | 1 |
| South Brooklyn, NY | $91.14 | $91.14 – $91.14 | 50 | 1 |
| N Billerica, MA | $49.95 | $49.95 – $49.95 | 50 | 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.