Admissions specialists available 24/7
  • Free
  • Confidential
  • No obligation
Who answers? (833) 589-6933

8 Best Self-Pay Rehabs in San Francisco, CA (2026)

We list 9 self-pay rehabs in San Francisco, CA, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 9Treatment facilities
  • 2Offer detox
  • 3Inpatient / residential
  • 5Accept Medicaid

Cash / Self-Pay: the basics

You can pay for rehab yourself, often called self-pay or private pay. Costs vary widely by level of care, location, length of stay and amenities, so outpatient care usually costs far less than residential treatment. Many programs offer payment plans or discounts, and you can often use HSA or FSA funds for treatment. Read the full guide →

2026 rankings

Top 8 self-pay rehabs in San Francisco, CA

Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank

  1. Foundations San Francisco

    San Francisco, CA

    7.2Very goodStartDrugRehab Score 7.2 out of 10
    3.2Google17 reviews

    Best for: Intensive outpatient careJoint Commission

    Why it made our list: Joint Commission accredited; offers PHP, IOP, MAT, and dual diagnosis care; accepts private insurance, TRICARE, and self-pay.

    View details
  2. Bayview Hunters Point Foundation – Substance Use Disorder Programs

    San Francisco, CA

    7.2Very goodStartDrugRehab Score 7.2 out of 10
    4.3Google12 reviews

    Best for: Methadone treatmentCARF

    Why it made our list: CARF accredited; offers outpatient care, MAT, and dual diagnosis care; accepts Medicare and self-pay.

    View details
  3. Addiction Research and Treatment Inc (ART)

    San Francisco, CA

    7.2Very goodStartDrugRehab Score 7.2 out of 10

    Best for: Methadone treatmentCARF

    Why it made our list: CARF accredited; offers outpatient care and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  4. Friendship House – Association of American Indians

    San Francisco, CA

    7.1Very goodStartDrugRehab Score 7.1 out of 10
    3.4Google28 reviews

    Best for: Residential treatmentCARF

    Why it made our list: CARF accredited; offers residential care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  5. Fort Help Mission Inc

    San Francisco, CA

    6.9GoodStartDrugRehab Score 6.9 out of 10
    5.0Google11 reviews

    Best for: Supervised detoxCOA

    Why it made our list: COA accredited; offers detox, outpatient care, MAT, and dual diagnosis care; accepts Medicaid, Medicare, and self-pay.

    View details
  6. Ohlhoff Recovery Programs – San Francisco Outpatient Program

    San Francisco, CA

    6.1GoodStartDrugRehab Score 6.1 out of 10
    5.0Google5 reviews

    Best for: Intensive outpatient care

    Why it made our list: Offers PHP, IOP, and outpatient care; accepts private insurance and self-pay.

    View details
  7. Mission Council on Alcohol Abuse for – The Spanish Speaking

    San Francisco, CA

    6.1GoodStartDrugRehab Score 6.1 out of 10
    3.3Google12 reviews

    Best for: Intensive outpatient care

    Why it made our list: Offers PHP, IOP, outpatient care, and dual diagnosis care; accepts Medicaid, Medicare, and self-pay.

    View details
  8. Latino Commission on Alc/DA Services – Casa Quetzal

    San Francisco, CA

    6.0GoodStartDrugRehab Score 6.0 out of 10

    Best for: Residential treatment

    Why it made our list: Offers residential care and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details

See the best rehab centers in San Francisco, CA →

All self-pay rehabs in San Francisco, CA

7.1Very goodStartDrugRehab Score 7.1 out of 10
3.4Google28 reviews

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

6.0GoodStartDrugRehab Score 6.0 out of 10
5.0Google1 review
Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Private insurance · Self-pay

“Get help” calls our free helpline, not this facility.

7.2Very goodStartDrugRehab Score 7.2 out of 10

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

Foundations San Francisco

San Francisco, CA 94111

7.2Very goodStartDrugRehab Score 7.2 out of 10
3.2Google17 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Private insurance · TRICARE · Self-pay

“Get help” calls our free helpline, not this facility.

7.2Very goodStartDrugRehab Score 7.2 out of 10
4.3Google12 reviews

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +2 more

Payment accepted

Medicare · Self-pay · State-funded

“Get help” calls our free helpline, not this facility.

Fort Help Mission Inc

San Francisco, CA 94110

6.9GoodStartDrugRehab Score 6.9 out of 10
5.0Google11 reviews

COA accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Self-pay

“Get help” calls our free helpline, not this facility.

6.0GoodStartDrugRehab Score 6.0 out of 10
Setting
In/Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Inpatient / Residential
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

6.1GoodStartDrugRehab Score 6.1 out of 10
3.3Google12 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +2 more

Payment accepted

Medicaid · Medicare · Self-pay +2 more

“Get help” calls our free helpline, not this facility.

More options in San Francisco, CA

Self-Pay Rehabs in other California cities

Frequently asked questions

How many self-pay rehabs are in San Francisco, CA?

We list 9 self-pay rehabs in San Francisco, CA, based on SAMHSA's FindTreatment.gov data (updated October 2026).

How do I choose the right program?

Look for state licensing and accreditation (The Joint Commission or CARF), the right level of care for your needs, evidence-based therapies, and insurance compatibility. Read our guide to choosing a rehab or call (833) 589-6933 to talk it through.

Will my insurance cover treatment?

Most private plans and Medicaid cover substance use treatment when it's medically necessary, but benefits vary by plan and network. Call (833) 589-6933 for a free, confidential benefits check.

Source: SAMHSA FindTreatment.gov, data updated October 2026. Listings are not endorsements.