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10 Best Self-Pay Rehabs in Des Moines, IA (2026)

We list 13 self-pay rehabs in Des Moines, IA, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 13Treatment facilities
  • 0Offer detox
  • 5Inpatient / residential
  • 13Accept 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 10 self-pay rehabs in Des Moines, IA

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. MercyOne House Mercy – Des Moines

    Des Moines, IA

    8.0ExcellentStartDrugRehab Score 8.0 out of 10
    3.7Google12 reviews

    Best for: Residential treatmentCARF

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

    View details
  2. Orchard Place – Pace

    Des Moines, IA

    7.6Very goodStartDrugRehab Score 7.6 out of 10
    4.6Google27 reviews

    Best for: Intensive outpatient careJoint Commission

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

    View details
  3. Covert Action LLC – Des Moines

    Des Moines, IA

    7.6Very goodStartDrugRehab Score 7.6 out of 10
    4.3Google42 reviews

    Best for: Methadone treatmentCARF

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

    View details
  4. Youth and Shelter Services – Rooftop Gardens OP

    Des Moines, IA

    7.4Very goodStartDrugRehab Score 7.4 out of 10
    5.0Google1 review

    Best for: Outpatient care with MATCARF

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

    View details
  5. Youth and Shelter Services (YSS) – Ihyc

    Des Moines, IA

    7.4Very goodStartDrugRehab Score 7.4 out of 10

    Best for: Outpatient care with MATCARF

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

    View details
  6. Community and Family Resources – Des Moines/Bernie Lorenz Recovery

    Des Moines, IA

    7.2Very goodStartDrugRehab Score 7.2 out of 10
    3.6Google11 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 self-pay.

    View details
  7. Bridges of Iowa Inc

    Des Moines, IA

    7.1Very goodStartDrugRehab Score 7.1 out of 10
    3.1Google8 reviews

    Best for: Residential treatmentCARF

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

    View details
  8. BHG Des Moines Treatment Center

    Des Moines, IA

    7.0Very goodStartDrugRehab Score 7.0 out of 10
    3.7Google30 reviews

    Best for: Outpatient care with MATJoint Commission

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

    View details
  9. Powell Chemical Dependency Program – Iowa Lutheran Hospital

    Des Moines, IA

    6.8GoodStartDrugRehab Score 6.8 out of 10
    3.9Google23 reviews

    Best for: Residential treatment

    Why it made our list: Offers residential care, PHP, IOP, and outpatient care; accepts private insurance, Medicaid, and Medicare.

    View details
  10. Children and Families of Iowa

    Des Moines, IA

    5.7FairStartDrugRehab Score 5.7 out of 10
    2.6Google12 reviews

    Best for: Outpatient careCOA

    Why it made our list: COA accredited; offers outpatient care and dual diagnosis care; accepts private insurance, Medicaid, and TRICARE.

    View details

See the best rehab centers in Des Moines, IA →

All self-pay rehabs in Des Moines, IA

8.0ExcellentStartDrugRehab Score 8.0 out of 10
3.7Google12 reviews

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Intensive Outpatient
  • Outpatient
  • +4 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

Bridges of Iowa Inc

Des Moines, IA 50309

7.1Very goodStartDrugRehab Score 7.1 out of 10
3.1Google8 reviews

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Private insurance · Self-pay

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

7.2Very goodStartDrugRehab Score 7.2 out of 10
3.6Google11 reviews

CARF accredited

Setting
Inpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Private insurance · Self-pay +2 more

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

6.5GoodStartDrugRehab Score 6.5 out of 10
3.0Google29 reviews

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Inpatient / Residential
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Private insurance · Self-pay +2 more

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

6.8GoodStartDrugRehab Score 6.8 out of 10
3.0Google29 reviews

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Private insurance · Self-pay +2 more

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

Covert Action LLC – Des Moines

Des Moines, IA 50309

7.6Very goodStartDrugRehab Score 7.6 out of 10
4.3Google42 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +1 more

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

Orchard Place – Pace

Des Moines, IA 50309

7.6Very goodStartDrugRehab Score 7.6 out of 10
4.6Google27 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Private insurance · Self-pay

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

7.4Very goodStartDrugRehab Score 7.4 out of 10
5.0Google1 review

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Private insurance · TRICARE +2 more

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

7.4Very goodStartDrugRehab Score 7.4 out of 10

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Private insurance · TRICARE +2 more

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

BHG Des Moines Treatment Center

Des Moines, IA 50314

7.0Very goodStartDrugRehab Score 7.0 out of 10
3.7Google30 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

6.8GoodStartDrugRehab Score 6.8 out of 10
3.9Google23 reviews
Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Partial Hospitalization
  • Intensive Outpatient
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Children and Families of Iowa

Des Moines, IA 50314

5.7FairStartDrugRehab Score 5.7 out of 10
2.6Google12 reviews

COA accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Private insurance · TRICARE +1 more

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

5.5FairStartDrugRehab Score 5.5 out of 10
3.4Google20 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis

Payment accepted

Medicaid · Private insurance · Self-pay

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

More options in Des Moines, IA

Self-Pay Rehabs in other Iowa cities

Frequently asked questions

How many self-pay rehabs are in Des Moines, IA?

We list 13 self-pay rehabs in Des Moines, IA, 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.