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10 Best Self-Pay Rehabs in Saint Louis, MO (2026)

We list 16 self-pay rehabs in Saint Louis, MO, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 16Treatment facilities
  • 5Offer detox
  • 2Inpatient / residential
  • 11Accept 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 Saint Louis, MO

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. Burrell Inc – Centerstone of Missouri

    Saint Louis, MO

    8.7ExcellentStartDrugRehab Score 8.7 out of 10

    Best for: Detox and residential careCARF

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

    View details
  2. Assisted Recovery Centers of America

    Saint Louis, MO

    8.4ExcellentStartDrugRehab Score 8.4 out of 10
    4.3Google168 reviews

    Best for: Supervised detoxCARF

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

    View details
  3. Queen of Peace Center – Cathedral Tower

    Saint Louis, MO

    8.4ExcellentStartDrugRehab Score 8.4 out of 10
    4.2Google33 reviews

    Best for: Residential treatmentJoint Commission

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

    View details
  4. Westend Clinic

    Saint Louis, MO

    8.3ExcellentStartDrugRehab Score 8.3 out of 10
    4.2Google35 reviews

    Best for: Supervised detoxCARF

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

    View details
  5. Birch Tree Recovery

    Saint Louis, MO

    8.1ExcellentStartDrugRehab Score 8.1 out of 10
    4.8Google18 reviews

    Best for: Intensive outpatient careJoint Commission

    Why it made our list: Joint Commission accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, self-pay, and sliding-scale fees.

    View details
  6. St Louis Metro Treatment Center – Metro Treatment of Missouri LP

    Saint Louis, MO

    7.6Very goodStartDrugRehab Score 7.6 out of 10
    3.9Google126 reviews

    Best for: Supervised detoxCARF

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

    View details
  7. BJC Behavioral Health – South Site

    Saint Louis, MO

    7.5Very goodStartDrugRehab Score 7.5 out of 10
    3.4Google20 reviews

    Best for: Intensive outpatient careCARF

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

    View details
  8. Aviary Recovery Center – Outpatient Program

    Saint Louis, MO

    7.4Very goodStartDrugRehab Score 7.4 out of 10
    3.7Google29 reviews

    Best for: Intensive outpatient careCARFNCQA

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

    View details
  9. Assessment and Counseling Solutions

    Saint Louis, MO

    6.1GoodStartDrugRehab Score 6.1 out of 10
    4.9Google33 reviews

    Best for: Intensive outpatient care

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

    View details
  10. Eastern MO Alt Sentencing Services Inc – EMASS/Overland CIP/SROP

    Saint Louis, MO

    5.5FairStartDrugRehab Score 5.5 out of 10

    Best for: Intensive outpatient care

    Why it made our list: Offers IOP and outpatient care; accepts self-pay and sliding-scale fees.

    View details

See the best rehab centers in Saint Louis, MO →

All self-pay rehabs in Saint Louis, MO

8.7ExcellentStartDrugRehab Score 8.7 out of 10

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Partial Hospitalization
  • +5 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

Assisted Recovery Centers of America

Saint Louis, MO 63103

8.4ExcellentStartDrugRehab Score 8.4 out of 10
4.3Google168 reviews

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Partial Hospitalization
  • Intensive Outpatient
  • +5 more

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

Assisted Recovery Centers of America

Saint Louis, MO 63136

8.2ExcellentStartDrugRehab Score 8.2 out of 10
4.2Google5 reviews

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Partial Hospitalization
  • Intensive Outpatient
  • +5 more

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

8.4ExcellentStartDrugRehab Score 8.4 out of 10
4.2Google33 reviews

Joint Commission accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Partial Hospitalization
  • Intensive Outpatient
  • +5 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

Westend Clinic

Saint Louis, MO 63120

8.3ExcellentStartDrugRehab Score 8.3 out of 10
4.2Google35 reviews

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Partial Hospitalization
  • Intensive Outpatient
  • +4 more

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

8.1ExcellentStartDrugRehab Score 8.1 out of 10
4.2Google33 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

7.4Very goodStartDrugRehab Score 7.4 out of 10
3.7Google29 reviews

CARF · NCQA accredited

Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

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

Payment accepted

Private insurance · TRICARE · Self-pay

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

Birch Tree Recovery

Saint Louis, MO 63141

8.1ExcellentStartDrugRehab Score 8.1 out of 10
4.8Google18 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

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

Payment accepted

Private insurance · Self-pay · Sliding scale

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

BJC Behavioral Health – South Site

Saint Louis, MO 63127

7.5Very goodStartDrugRehab Score 7.5 out of 10
3.4Google20 reviews

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

7.8Very goodStartDrugRehab Score 7.8 out of 10

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

7.8Very goodStartDrugRehab Score 7.8 out of 10

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

7.5Very goodStartDrugRehab Score 7.5 out of 10

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +4 more

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

Assessment and Counseling Solutions

Saint Louis, MO 63126

6.1GoodStartDrugRehab Score 6.1 out of 10
4.9Google33 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Telehealth

Payment accepted

Private insurance · Self-pay · Sliding scale

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

More options in Saint Louis, MO

Self-Pay Rehabs in other Missouri cities

Frequently asked questions

How many self-pay rehabs are in Saint Louis, MO?

We list 16 self-pay rehabs in Saint Louis, MO, 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.