Addiction treatment, in numbers you can check
We count the federal treatment directory ourselves — 10,233 facilities — so the cost, coverage and availability figures on this site are measured, not copied.
- US facilities counted
- 0
- deduplicated SAMHSA directory
- run a sliding fee scale
- 0%
- almost never volunteered — ask
- accept Medicaid
- 0%
- wider than most assume
- offer residential care
- 0%
- the scarce tier
What do you need to work out?
In crisis now? Call or text 988 (Suicide & Crisis Lifeline) or the SAMHSA helpline 1-800-662-4357 — free, confidential, 24/7.
Treatment cost estimator
Pick a level of care and how it would be paid for. The range is a rough national estimate — the exact number comes from verifying a specific plan, and the pages linked below show how.
Estimated out-of-pocket, per 30 days:
$600 – $8,000
after deductible and coinsurance, at an in-network facility — 80.7% of US facilities take private insurance. Gross price before insurance: $6,000 – $20,000.
Rough national estimate, not a quote — the number that governs your bill comes from verifying your specific plan. How to verify coverage · Paying without insurance
The three main levels, side by side
Almost every treatment decision is really a choice between these three. The fork most people reach first is inpatient against outpatient.
| Level of care | Setting | Typical length | Gross cost | Best for |
|---|---|---|---|---|
| Medical detox | Hospital or licensed unit | 5–7 days | $250–$800 / day | Stopping safely when withdrawal is dangerous |
| Residential / inpatient | Live-in facility | 30–90 days | $6,000–$20,000 / 30 days | Unstable home environment or failed outpatient |
| Intensive outpatient | Clinic visits, live at home | 8–12 weeks | $1,400–$10,000 / month | Medically stable, work or family duties |
Where the facilities are — and what they accept
National averages hide differences of 2× between states. Medicaid acceptance runs from 61.5% in California to 97.6% in Minnesota; sliding-scale availability from 19.3% to 57%.
| State | Facilities | Sliding fee scale | Accept Medicaid |
|---|---|---|---|
| CA | 892 | 29.6% | 61.5% |
| NY | 567 | 51% | 95.4% |
| IL | 504 | 56.9% | 74.4% |
| OH | 462 | 51.1% | 96.5% |
| FL | 439 | 32.8% | 62.4% |
| PA | 411 | 24.8% | 82.2% |
| NC | 409 | 22.7% | 79% |
| MD | 396 | 32.8% | 93.7% |
| TX | 392 | 44.9% | 69.9% |
| AZ | 385 | 33.5% | 90.1% |
| MN | 327 | 19.3% | 97.6% |
| MA | 311 | 24.8% | 93.6% |
| KY | 293 | 44.7% | 90.4% |
| MO | 249 | 57% | 81.1% |
Latest research
Every guide on this site cites primary sources — the FDA label, the Code of Federal Regulations, the systematic review itself.
- Free Rehab for Veterans
Veterans get free addiction treatment three ways: VA care, Vet Centers without enrollment, COMPACT Act crisis care. How each door works.
- Average Cost of Rehab
We read the top-ranking pages and their quoted 30-day prices disagree by 11x. Real cost drivers by level of care, and how to get your actual number.
- Addiction Treatment for Pregnant Women
Treatment in pregnancy is safer than untreated addiction: recommended medications, supervised detox, integrated prenatal care, priority rules.
- Rehab for Women With Children
Rehab when you have children: programs where kids stay, childcare during treatment, custody, and funded routes for mothers.
Check what your plan covers
Coverage lives in your specific plan, not in the name of your insurer. These pages give the exact questions to ask so the answer you get is the one that governs your bill.
The five questions everyone asks first
How much does rehab cost without insurance?
Nationally, a 30-day residential stay lists at $6,000–$20,000 before discounts, intensive outpatient at $1,400–$10,000 per month and medical detox at $250–$800 per day. The sticker price is rarely the final number: 40% of US facilities run a sliding fee scale, and 22.5% offer payment assistance — both usually only when asked.
Does insurance cover addiction treatment?
Coverage is decided by your specific plan, not the insurer's name — but treatment is widely covered in practice: 80.7% of facilities accept private insurance, 83.4% accept Medicaid and 55.2% accept Medicare. Four gates decide what you pay: whether the facility is in-network, whether the level of care is deemed medically necessary, prior authorization, and your deductible.
How long does rehab take?
Medical detox typically runs 5–7 days. Residential programs are most often 30, 60 or 90 days. Outpatient care runs 8–12 weeks at 3–9 hours per week. The evidence-based rule: outcomes improve with duration, and 90 days of total care (any level) is the threshold most associated with lasting results.
What is the difference between detox and rehab?
Detox manages withdrawal safely — it is the first days, not the treatment. Rehab is the behavioural work that follows. Only 19.5% of facilities run medical detox, while 85.4% offer outpatient treatment and 21.4% offer residential care, so detox is often a separate admission.
How do I find free or state-funded rehab?
54.5% of facilities accept state funding outside Medicaid, and federal block-grant rules give some applicants admission deadlines rather than a queue. Start with the SAMHSA helpline (1-800-662-4357) or FindTreatment.gov and filter by payment assistance.
Sources we work from
How this page was made
- Who wrote it:
- the Westbrook Recovery editorial team : researchers and writers, not clinicians. No doctor has reviewed this page, and we do not claim otherwise. What that means in practice: we report what public clinical sources say and show you where to read them, rather than offering a clinical opinion of our own.
- Checked against:
- 6 primary sources listed above: federal agency material and published clinical criteria. Where a figure varies by state, plan or facility, we say so instead of publishing a number that looks authoritative and is not.
- Original analysis:
- the facility proportions on this page are our own count of SAMHSA’s public directory. The full method is documented , including what we count, what we deliberately do not publish, and an error the approach caught. You can repeat the pull and check the numbers.
- Last reviewed:
- . This date changes when the content is actually re-checked, not automatically on every visit.
- What this page is not:
- a medical recommendation, a diagnosis, or a referral. Decisions about levels of care and medication belong with a clinician who knows your history. We do not operate facilities, take placement fees, or receive payment for sending anyone anywhere.