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3 Best Sliding Scale Rehabs in San Francisco, CA (2026)

We list 3 sliding scale rehabs in San Francisco, CA, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 3Treatment facilities
  • 0Offer detox
  • 2Inpatient / residential
  • 3Accept Medicaid

Sliding Scale Fees: the basics

Sliding-scale rehab programs charge based on what you can afford, usually using your income and household size. The lower your income, the less you pay, and some people pay very little. Community health centers, nonprofit programs and publicly funded clinics often use sliding fees. You'll usually need to show proof of income. Read the full guide →

2026 rankings

Top 3 sliding scale 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. 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
  2. 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
  3. Epiphany Residential

    San Francisco, CA

    6.0GoodStartDrugRehab Score 6.0 out of 10
    3.9Google15 reviews

    Best for: Residential treatment

    Why it made our list: Offers residential care, MAT, and dual diagnosis care; accepts Medicaid, Medicare, and sliding-scale fees.

    View details

See the best rehab centers in San Francisco, CA →

All sliding scale 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.

Epiphany Residential

San Francisco, CA 94118

6.0GoodStartDrugRehab Score 6.0 out of 10
3.9Google15 reviews
Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Sliding scale +1 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

Sliding Scale Rehabs in other California cities

Frequently asked questions

How many sliding scale rehabs are in San Francisco, CA?

We list 3 sliding scale 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.