For example, among methadone maintenance treatment programs in our sample, average length of stay (which constitutes one episode of treatment) ranges from 16 to 150 weeks. These variations make comparisons of episode costs across programs tenuous. While cost bands are preferable to point estimates such as mean cost, numerous limitations are present as well. First and most notably, the upper and lower bounds for each modality are so wide that policymakers have little practical assistance on where to set specific reimbursement amounts for individual programs, even within the bands. For example, CSAT reports a range of $1,000 to $5,000 per patient for outpatient non-methadone treatment, which translates to a weekly cost of approximately $19 to $96 per patient.

Table 1 presents summary statistics for the DATCAP estimates, by modality. Some modalities, like non-methadone outpatient or adolescent outpatient, are represented by at least 20 unique programs and have fairly tight distributions for average weekly cost and average episode cost. Wyoming ranks 46th and is the most expensive state for residential drug abuse treatment (non-hospital). Wyoming is the most expensive state for outpatient rehabilitation services.

Cost of Drug Rehab in California

This document will review your benefits in detail.1 If you still have questions about your coverage, please contact your insurance company for more information. This study improves upon and updates the cost bands originally developed by CSAT by basing the values on a comprehensive set of economic cost estimates derived through a standardized, peer-reviewed, and well-used instrument. Besides program and client characteristics, two critical determinants of the variation in mean costs are the average daily census and the mean length of stay in treatment. Current studies suggest that average daily census affects program-specific operating costs through economies of scale. Harwood, Kallinis, and Liu (2001a) find economies of scale in the residential sector, although this is partly due to lower intensity treatment delivered by larger residential care providers. To illustrate this phenomenon, we provide two examples from our dataset.

Medicare‘s coverage of services for mental and behavioral health as well as SUDs is not as extensive as its coverage for other services, according to the Center for Medicare Advocacy. Compared to the CSAT cost bands discussed earlier, these ranges are generally tighter. CSAT published cost bands for an average episode of treatment for three of the eight modalities covered by our cost band estimates. For non-methadone outpatient treatment, our proposed cost band ($1,132 to $2,099) is much narrower than CSAT’s cost band ($1,000 to $5,000). However, factors like underlying mental health conditions and the severity of the addiction may indicate a need for a 60 or 90-day treatment program.

A Detailed Guide to Drug Rehab Costs Without Insurance

These programs are administered through each state and have different requirements for enrollment. Technically, even if it isn’t in your policy, your health insurance will cover rehab. A medication-assisted treatment (MAT) program, for example, may be Top 5 Questions to Ask Yourself When Choosing Sober House more expensive than traditional detox. A person enrolled in this program receives medication to prevent painful and life-threatening withdrawal symptoms. Individuals who pay for drug rehab out of pocket may consider raising money in a variety of ways.

The next steps depend on what your insurance benefits and contract cover, and the appropriate level of care and substance abuse treatment recommended by our clinical team. If required, we will provide your insurance company with the information needed for pre-authorization. While your health insurance might cover rehab, your insurance provider could have specific criteria in order to access those benefits.