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 |
|---|---|---|---|---|
| Franklin Square, NY | $2.14 | $2.14 – $2.14 | 49 | 1 |
| Yorktown, VA | $53.79 | $53.79 – $53.79 | 49 | 1 |
| Wildwood, FL | $12.66 | $12.66 – $12.66 | 49 | 1 |
| Bastian, VA | $0.00 | $0.00 – $0.00 | 49 | 1 |
| Robins Afb, GA | $37.12 | $37.12 – $37.12 | 49 | 1 |
| Waterboro, ME | $0.00 | $0.00 – $0.00 | 49 | 1 |
| Okawville, IL | $72.34 | $72.34 – $72.34 | 49 | 1 |
| Pendelton, OR | $470.43 | $470.43 – $470.43 | 49 | 1 |
| Newburgh Hts, OH | $154.15 | $154.15 – $154.15 | 49 | 1 |
| St Francis, WI | $29.46 | $29.46 – $29.46 | 48 | 1 |
| Palatka, FL | $16.38 | $16.38 – $16.38 | 48 | 1 |
| Baraga, MI | $81.57 | $81.57 – $81.57 | 48 | 1 |
| Medford, WI | $47.31 | $47.31 – $47.31 | 48 | 1 |
| Summit, WI | $30.13 | $30.13 – $30.13 | 48 | 1 |
| Thermopolis, WY | $96.81 | $96.81 – $96.81 | 48 | 1 |
| Colusa, CA | $90.22 | $90.22 – $90.22 | 47 | 1 |
| Muskegon Hts, MI | $354.95 | $354.95 – $354.95 | 47 | 1 |
| Wesley Chapel, FL | $52.42 | $52.42 – $52.42 | 46 | 1 |
| Westbury, NY | $0.00 | $0.00 – $0.00 | 46 | 1 |
| Fort Huachuca, AZ | $0.00 | $0.00 – $0.00 | 46 | 1 |
| West Siloam Springs, OK | $0.00 | $0.00 – $0.00 | 46 | 1 |
| Pottsville, PA | $3,772 | $3,772 – $3,772 | 45 | 1 |
| Tallmadge, OH | $14.38 | $14.38 – $14.38 | 45 | 1 |
| Forest Grove, OR | $0.00 | $0.00 – $0.00 | 45 | 3 |
| Millington, TN | $6.47 | $6.12 – $7.43 | 45 | 2 |
| Whitinsville, MA | $41.54 | $41.54 – $41.54 | 45 | 1 |
| Aztec, NM | $101.02 | $101.02 – $101.02 | 45 | 1 |
| Madisonville, TN | $196.10 | $152.78 – $224.98 | 45 | 2 |
| Saint Johns, FL | $47.10 | $47.10 – $47.10 | 45 | 1 |
| Manor, TX | $0.00 | $0.00 – $0.00 | 45 | 1 |
| Isleta, NM | $49.21 | $49.21 – $49.21 | 45 | 1 |
| Columbus, NE | $3.06 | $3.06 – $3.06 | 44 | 1 |
| Johnson City, NY | $17.98 | $17.98 – $17.98 | 44 | 1 |
| Medford, NY | $0.00 | $0.00 – $0.00 | 44 | 1 |
| Aberdeen, NC | $11.92 | $11.92 – $11.92 | 44 | 1 |
| Columbia, PA | $41.48 | $41.48 – $41.48 | 44 | 1 |
| Port Henry, NY | $55.07 | $55.07 – $55.07 | 44 | 1 |
| Brookline, NH | $65.36 | $65.36 – $65.36 | 44 | 1 |
| Millbrook, NY | $97.87 | $97.87 – $97.87 | 43 | 1 |
| Port Saint Lucie, FL | $15.88 | $15.88 – $15.88 | 43 | 1 |
| Ellsinore, MO | $236.51 | $236.51 – $236.51 | 43 | 1 |
| Triangle, VA | $21.98 | $21.98 – $21.98 | 43 | 1 |
| Englewood, FL | $24.50 | $24.50 – $24.50 | 42 | 1 |
| Pismo Beach, CA | $1.19 | $1.19 – $1.19 | 42 | 1 |
| Chapmanville, WV | $18.41 | $18.41 – $18.41 | 42 | 1 |
| Perry Hall, MD | $10.43 | $10.43 – $10.43 | 42 | 1 |
| Sisters, OR | $39.36 | $39.36 – $39.36 | 42 | 1 |
| Hampstead, NC | $15.18 | $15.18 – $15.18 | 42 | 1 |
| Danville, OH | $17.68 | $17.68 – $17.68 | 42 | 1 |
| Ashley, PA | $62.24 | $62.24 – $62.24 | 42 | 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.