Actual Cost of Addiction Treatment in America Without Insurance Coverage

Seeking addiction rehab services without medical insurance is like navigating through a maze—confusing, scary, and potentially very pricey. Both addiction victims and those in search of rehab services for them might find it valuable to know costs in order to be informed.

Below, we outline average out-of-pocket costs for an entire range of levels of care—everything from detox to inpatient rehab, therapy, all the way to even resort-style recovery retreats—using U.S. marketplace data.

Medical Detox (3–10 Days)

What it is: Drug elimination from the system in a supervised setting, typically the first step in actual treatment.

  • Standard facility: $1,500 – $5,000
  • Hospital detoxification: $3,000 – $8
  • Medical monitoring 24/7 & meds: $500 – $1,000/day

Variables: Substance used, health needs, location

Inpatient Rehab (Residential, 30–90 Days)

What it is: 24/7 live-in programs offering care, counseling, schedules, and in most instances, medical/psychiatric services.

  • Basic inpatient: $6,000 – $20
  • Mid-range venues: $20,000 – $35
  • Luxury rehab: $40,000 – $100

Includes: Food, accommodation, therapy, specific medications, activities

Extras: Private rooms, personal chefs, yoga, massage, etc.

Partial Hospitalization Program (PHP)

What it is: Less intensive than inpatient care, but still very intensive. The patients receive daily treatment but live at home.

  • Weekly Cost: $800 – $2,000
  • Monthly cost: $3,500 – $8,000
  • Per-day rate: $200 – $400

Duration: 3–6 weeks

Intensive Outpatient Program (IOP)

What it is: 3–5 days/week therapy, typically in the evenings. Most suitable if coming from inpatient/PHP or if you have strong support systems.

  • Weekly cost: $250 – $750
  • Complete Program: $2,000 – $10,
  • Per session: $50 – $250

Standard Outpatient Treatment

What it is: Therapy and case management at low intensity.

  • Monthly average cost: $1,000 – $3,000
  • Per session: $50 – $150 (individual), $30 – $100 (group)

Addiction Counseling

What it is: One-on-one or small-group therapy, provided by a state-licensed addiction specialist.

  • Per session: $80 – $250
  • Discounts offered: Yes, often
  • Online therapy: $50 – $150/session

Alcohol Treatment

What it is: Treatment that focuses on alcohol use disorder, like detox, meds, and therapy.

  • Inpatient alcohol rehab: $10,000 – $30,
  • Outpatient alcohol rehab: $1,500 – $6,000/month
  • Medical alcohol detox: $1,500 – $5,000 (3–7 days)

Drug Rehabilitation

  • Inpatient: $15,000 – $50,000/month
  • Outpatient: $1,000 – $7,500/month
  • Methadone maintenance: $300 – $500/month
  • Suboxone treatment: $200 – $1,000/month

Variables influencing cost: Drug of choice, dual-diagnosis treatment, location, duration

Addiction Retreats

What it is: Complete or spiritual wellness programs. May not be medically focused.

  • Cost per week: $3,000 – $10
  • Luxury retreats: $15,000 – $40,000+/week

Common traits: Yoga, mindfulness, workshops, nature therapy

Note: May not have clinic services

Medication Cost (Out-of-Pocket)

  • Vivitrol (monthly injection): $1,000 – $1,500
  • Suboxone (30-day supply): $150 – $500
  • Antabuse: $50 – $100
  • Methadone: ~$15/day or ~$400/month

What is Cost Without Insurance?

  1. Length of stay
  2. Location
  3. Medical needs (e.g., detox, co-)
  4. Type of facility (non-profit vs. luxury)
  5. Included services

Can You Get Medical Attention Without Coverage?

Yes. Try these alternatives:

  • Sliding-scale rehabilitation centers
  • Government-sponsored programs
  • Scholarships from private rehabs
  • Clinical trials/university programs
  • Nonprofits (SAMHSA, Salvation Army, Phoenix House)

Conclusion

The cost for addiction treatment in the U.S. if one is uninsured could be several hundred to several tens of thousands of dollars. Cost, however, should not be an issue. At costwithoutinsurance.com, it is our mission to provide you accurate, honest, and practical information to enable you to make informed decisions about your health and recovery.