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 |
|---|---|---|---|---|
| Fowler, OH | $122.85 | $122.85 – $122.85 | 42 | 1 |
| Elbert, CO | $66.82 | $66.82 – $66.82 | 42 | 1 |
| Great Neck, NY | $57.56 | $57.56 – $57.56 | 41 | 1 |
| Patten, ME | $74.65 | $74.65 – $74.65 | 41 | 1 |
| North Royalton, OH | $16.74 | $16.74 – $16.74 | 41 | 1 |
| Winterport, ME | $85.77 | $85.77 – $85.77 | 41 | 1 |
| Caldwell, NJ | $1.67 | $1.67 – $1.67 | 41 | 1 |
| El Sobrante, CA | $48.39 | $48.39 – $48.39 | 41 | 1 |
| Dayton, OR | $24.14 | $24.14 – $24.14 | 41 | 1 |
| Titusville, NJ | $0.00 | $0.00 – $0.00 | 41 | 1 |
| La Canada, CA | $0.00 | $0.00 – $0.00 | 40 | 1 |
| Ridgewood, NJ | $3.62 | $3.62 – $3.62 | 40 | 1 |
| Locust, NC | $25.09 | $25.09 – $25.09 | 40 | 1 |
| Marina, CA | $36.00 | $36.00 – $36.00 | 40 | 1 |
| Vandenberg Afb, CA | $0.00 | $0.00 – $0.00 | 40 | 1 |
| Petersham, MA | $43.72 | $43.72 – $43.72 | 40 | 1 |
| Floresville, TX | $10.38 | $10.27 – $10.43 | 39 | 2 |
| Osage Beach, MO | $46.31 | $46.31 – $46.31 | 39 | 1 |
| Watervliet, MI | $61.43 | $61.43 – $61.43 | 39 | 1 |
| Antelope, CA | $76.81 | $76.81 – $76.81 | 39 | 1 |
| Tunkhannock, PA | $20.02 | $20.02 – $20.02 | 38 | 1 |
| Bloomsburg, PA | $18.26 | $18.26 – $18.26 | 38 | 1 |
| Killingworth, CT | $0.00 | $0.00 – $0.00 | 38 | 1 |
| Elkton, FL | $26.89 | $26.89 – $26.89 | 38 | 1 |
| Sanford, FL | $78.38 | $78.38 – $78.38 | 37 | 1 |
| Warrington, PA | $63.75 | $63.75 – $63.75 | 37 | 1 |
| Bastrop, TX | $1.20 | $1.20 – $1.20 | 37 | 1 |
| Mangum, OK | $63.14 | $54.46 – $67.83 | 37 | 2 |
| Clairton, PA | $54.51 | $54.51 – $54.51 | 37 | 1 |
| East Haven, CT | $134.72 | $134.72 – $134.72 | 37 | 1 |
| Lynnfield, MA | $31.81 | $31.81 – $31.81 | 37 | 1 |
| Dearborn Heights, MI | $0.00 | $0.00 – $0.00 | 37 | 1 |
| Mayville, NY | $2.46 | $2.46 – $2.46 | 37 | 1 |
| Jerseyville, IL | $2,903 | $2,903 – $2,903 | 36 | 1 |
| Mesquite, NV | $21.61 | $17.04 – $30.77 | 36 | 2 |
| Newton, NC | $55.56 | $55.56 – $55.56 | 36 | 1 |
| Winter Garden, FL | $0.00 | $0.00 – $0.00 | 35 | 1 |
| Milton, NY | $61.40 | $61.40 – $61.40 | 35 | 1 |
| Mcarthur, OH | $20.66 | $20.66 – $20.66 | 35 | 1 |
| Salem, IN | $42.45 | $42.45 – $42.45 | 34 | 1 |
| Clayton, MO | $9.56 | $9.56 – $9.56 | 34 | 1 |
| Lena, LA | $0.29 | $0.29 – $0.29 | 34 | 1 |
| Eldorado Springs, CO | $105.52 | $105.52 – $105.52 | 34 | 1 |
| Midlothian, TX | $16.66 | $16.66 – $16.66 | 33 | 1 |
| Galion, OH | $81.24 | $81.24 – $81.24 | 33 | 1 |
| Arlington, MA | $59.83 | $59.83 – $59.83 | 33 | 1 |
| Ballwin, MO | $0.00 | $0.00 – $0.00 | 33 | 1 |
| T Or C, NM | $2.26 | $2.26 – $2.26 | 33 | 1 |
| Daniels, WV | $0.00 | $0.00 – $0.00 | 33 | 1 |
| Arlington, VT | $155.65 | $155.65 – $155.65 | 33 | 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.