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9 Best Self-Pay Rehabs in Billings, MT (2026)

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

  • 9Treatment facilities
  • 1Offer detox
  • 1Inpatient / residential
  • 9Accept 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 9 self-pay rehabs in Billings, MT

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. Rimrock – Main Building

    Billings, MT

    8.5ExcellentStartDrugRehab Score 8.5 out of 10
    3.8Google25 reviews

    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 TRICARE.

    View details
  2. New Day Inc – Eagle’s Nest Adult Treatment Program

    Billings, MT

    8.0ExcellentStartDrugRehab Score 8.0 out of 10
    3.8Google25 reviews

    Best for: Intensive outpatient careCARFCOA

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

    View details
  3. Community Medical Services – Billings

    Billings, MT

    7.6Very goodStartDrugRehab Score 7.6 out of 10
    4.7Google60 reviews

    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. South Central Montana Regional MHC – Journey Recovery Program

    Billings, MT

    6.4GoodStartDrugRehab Score 6.4 out of 10
    1.0Google1 review

    Best for: Intensive outpatient care

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

    View details
  5. Billings Urban Indian Health and – Wellness Center

    Billings, MT

    6.1GoodStartDrugRehab Score 6.1 out of 10
    2.7Google11 reviews

    Best for: Intensive outpatient care

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

    View details
  6. New Directions Counseling

    Billings, MT

    5.8FairStartDrugRehab Score 5.8 out of 10
    5.0Google1 review

    Best for: Intensive outpatient care

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

    View details
  7. Billings Addiction Counseling LLC

    Billings, MT

    5.8FairStartDrugRehab Score 5.8 out of 10

    Best for: Low-cost outpatient care

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

    View details
  8. Yellowstone Boys and Girls Ranch – Community Based Services

    Billings, MT

    5.4FairStartDrugRehab Score 5.4 out of 10
    2.6Google53 reviews

    Best for: Low-cost outpatient careCOA

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

    View details
  9. Compass/Alternatives Inc

    Billings, MT

    5.3FairStartDrugRehab Score 5.3 out of 10
    2.5Google16 reviews

    Best for: Intensive outpatient care

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

    View details

See the best rehab centers in Billings, MT →

All self-pay rehabs in Billings, MT

Rimrock – Main Building

Billings, MT 59101

8.5ExcellentStartDrugRehab Score 8.5 out of 10
3.8Google25 reviews

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Hospital Inpatient
  • +6 more

Payment accepted

Medicaid · Private insurance · TRICARE +2 more

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

8.0ExcellentStartDrugRehab Score 8.0 out of 10
3.8Google25 reviews

CARF · COA accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

7.6Very goodStartDrugRehab Score 7.6 out of 10
4.7Google60 reviews

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 +2 more

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

6.4GoodStartDrugRehab Score 6.4 out of 10
1.0Google1 review
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +3 more

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
2.7Google11 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +4 more

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

5.8FairStartDrugRehab Score 5.8 out of 10
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

Compass/Alternatives Inc

Billings, MT 59101

5.3FairStartDrugRehab Score 5.3 out of 10
2.5Google16 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

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

Payment accepted

Medicaid · Self-pay · Sliding scale +1 more

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

New Directions Counseling

Billings, MT 59102

5.8FairStartDrugRehab Score 5.8 out of 10
5.0Google1 review
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Telehealth

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

5.4FairStartDrugRehab Score 5.4 out of 10
2.6Google53 reviews

COA accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Private insurance · TRICARE +3 more

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

More options in Billings, MT

Self-Pay Rehabs in other Montana cities

Frequently asked questions

How many self-pay rehabs are in Billings, MT?

We list 9 self-pay rehabs in Billings, MT, 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.