Addiction Medicine
Confidential, judgment-free treatment for substance use disorders and behavioral addictions
Addiction Medicine is the specialty focused on confidential, judgment-free treatment for substance use disorders and behavioral addictions. OpenDoc keeps the common visit types visible so patients can compare the care path before they book. Transparent pricing on this page currently ranges from $25 to $1,200 across 12 common visit types. Addiction Medicine specialists provide medication-assisted treatment (MAT), behavioral counseling, and ongoing recovery management for substance use disorders. Over 20 million Americans meet criteria for a substance use disorder, yet fewer than 10% receive treatment. OpenDoc connects patients directly to board-certified addiction medicine physicians with transparent cash pricing starting at $150 — no insurance authorization delays, no waiting lists, and complete confidentiality.
Common services and transparent pricing
Pricing estimates are modeled from the current OpenDoc specialty taxonomy, visit archetypes, and transparent cash-pay assumptions. Posted provider pricing should be treated as the source of truth whenever it is available. Pricing last reviewed April 8, 2026.
- Initial Addiction Evaluation — $200–$400: Initial Addiction Evaluation is a common addiction medicine entry point on OpenDoc with transparent pricing before booking.
- Medication Management Visit — $150–$250: Medication Management Visit is a common addiction medicine entry point on OpenDoc with transparent pricing before booking.
- MAT Induction (Suboxone/Buprenorphine) — $250–$450: MAT Induction (Suboxone/Buprenorphine) is a procedure-oriented addiction medicine service with transparent pricing shown before anything happens.
- Vivitrol (Naltrexone) Injection — $800–$1200: Vivitrol (Naltrexone) Injection is a procedure-oriented addiction medicine service with transparent pricing shown before anything happens.
- Urine Drug Screening (10-panel) — $25–$75: Urine Drug Screening (10-panel) is a diagnostic addiction medicine service used to clarify the condition before treatment decisions are made.
- Comprehensive Drug Panel (expanded) — $75–$200: Comprehensive Drug Panel (expanded) is a diagnostic addiction medicine service used to clarify the condition before treatment decisions are made.
- Individual Counseling Session — $125–$250: Individual Counseling Session is a common addiction medicine entry point on OpenDoc with transparent pricing before booking.
- Group Therapy Session — $50–$100: Group Therapy Session is a common addiction medicine entry point on OpenDoc with transparent pricing before booking.
- Alcohol Withdrawal Assessment (CIWA) — $150–$300: Alcohol Withdrawal Assessment (CIWA) is a common addiction medicine entry point on OpenDoc with transparent pricing before booking.
- Nicotine Cessation Program Initiation — $175–$300: Nicotine Cessation Program Initiation is a common addiction medicine entry point on OpenDoc with transparent pricing before booking.
- Relapse Prevention Planning — $150–$250: Relapse Prevention Planning is a common addiction medicine entry point on OpenDoc with transparent pricing before booking.
- Follow-Up MAT Visit — $100–$200: Follow-Up MAT Visit is a common addiction medicine entry point on OpenDoc with transparent pricing before booking.
Frequently asked questions
How much does a Suboxone consultation cost without insurance?
An initial Suboxone consultation typically costs $200 to $400 on a cash-pay basis. Follow-up medication management visits for ongoing MAT range from $100 to $200. The Suboxone medication itself is a separate cost, though generic buprenorphine/naloxone is often $75 to $150 per month at pharmacy discount pricing.
Do I need a referral to see an addiction medicine doctor?
No referral is needed on OpenDoc. You can search directly for a board-certified addiction medicine specialist. All visits are confidential and do not require insurance authorization or primary care referral.
What is medication-assisted treatment (MAT) and how does it work?
MAT combines FDA-approved medications like buprenorphine (Suboxone), naltrexone (Vivitrol), or methadone with counseling and behavioral therapies. These medications reduce cravings and withdrawal symptoms, allowing patients to focus on recovery. MAT is considered the gold standard for opioid use disorder treatment, with studies showing it reduces overdose deaths by over 50%.
Will my addiction treatment show up on my medical records?
Substance use disorder treatment records receive special federal protections under 42 CFR Part 2, which is stricter than standard HIPAA rules. Cash-pay visits on OpenDoc are not submitted to insurance, providing an additional layer of privacy. Your treatment records cannot be disclosed without your explicit written consent.
How much does a Vivitrol injection cost without insurance?
A Vivitrol (naltrexone) injection typically costs $800 to $1,200 cash-pay, which includes the medication and administration. This is a once-monthly injection. Some patients find significant savings compared to insurance copays combined with deductible requirements. Generic naltrexone oral tablets are a lower-cost alternative at $50 to $100 per month.
What is the difference between addiction medicine and psychiatry?
Addiction medicine physicians specialize specifically in the diagnosis and treatment of substance use disorders, including medical detox, MAT, and long-term recovery management. Psychiatrists treat a broader range of mental health conditions. While both can prescribe medications, addiction medicine specialists have deeper training in withdrawal management, drug interactions, and relapse prevention specific to substance use.
How quickly can I start Suboxone treatment?
Many addiction medicine providers can initiate Suboxone (buprenorphine) treatment on the same day as your first evaluation, provided you meet clinical criteria. You generally need to be in mild to moderate opioid withdrawal before induction begins. On OpenDoc, you can search for addiction medicine specialists directly.
Do addiction medicine doctors do drug testing at every visit?
Drug screening frequency varies by provider and treatment phase. Most providers perform urine drug screens at the initial visit and periodically during treatment — typically monthly in early recovery and less frequently as stability is established. Cash-pay drug screens cost $25 to $75 per test. Screening helps your provider adjust your treatment plan and is a standard part of evidence-based addiction care.