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7 Best Sliding Scale Rehabs in Saint Louis, MO (2026)

We list 10 sliding scale rehabs in Saint Louis, MO, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 10Treatment facilities
  • 2Offer detox
  • 1Inpatient / residential
  • 6Accept 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 7 sliding scale 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. 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
  2. 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
  3. 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
  4. Betty Jean Kerr Peoples Health Centers

    Saint Louis, MO

    8.1ExcellentStartDrugRehab Score 8.1 out of 10

    Best for: Intensive outpatient careCARF

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

    View details
  5. Burrell Inc – Centerstone of Missouri

    Saint Louis, MO

    8.1ExcellentStartDrugRehab Score 8.1 out of 10

    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
  6. 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
  7. 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 sliding scale rehabs in Saint Louis, MO

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.

8.1ExcellentStartDrugRehab Score 8.1 out of 10

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Intensive Outpatient
  • Outpatient
  • +3 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

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +2 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.

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.

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

Sliding Scale Rehabs in other Missouri cities

Frequently asked questions

How many sliding scale rehabs are in Saint Louis, MO?

We list 10 sliding scale 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.