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10 Best Self-Pay Rehabs in Winston Salem, NC (2026)

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

  • 13Treatment facilities
  • 4Offer 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 10 self-pay rehabs in Winston Salem, NC

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. Wake Forest Baptist Health – Department of Psychiatry

    Winston Salem, NC

    8.3ExcellentStartDrugRehab Score 8.3 out of 10
    4.4Google101 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
  2. Insight Human Services Inc

    Winston Salem, NC

    7.9Very goodStartDrugRehab Score 7.9 out of 10
    4.3Google59 reviews

    Best for: Methadone treatmentCARF

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

    View details
  3. Daymark Recovery Services

    Winston Salem, NC

    7.8Very goodStartDrugRehab Score 7.8 out of 10
    4.1Google243 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
  4. Novant Health Forsyth Medical Center – Outpatient Behavioral Health Services

    Winston Salem, NC

    7.7Very goodStartDrugRehab Score 7.7 out of 10
    2.3Google16 reviews

    Best for: Intensive outpatient careJoint CommissionCARF

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

    View details
  5. Addiction Recovery Care Association

    Winston Salem, NC

    7.3Very goodStartDrugRehab Score 7.3 out of 10
    3.5Google69 reviews

    Best for: Detox and residential careCARF

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

    View details
  6. Monarch – BH Forsyth

    Winston Salem, NC

    7.1Very goodStartDrugRehab Score 7.1 out of 10

    Best for: Outpatient careJoint Commission

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

    View details
  7. Winston Salem Comprehensive Treatment Center – ATS of North Carolina LLC

    Winston Salem, NC

    7.0Very goodStartDrugRehab Score 7.0 out of 10
    3.9Google101 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
  8. Top Priority Care Services LLC

    Winston Salem, NC

    7.0Very goodStartDrugRehab Score 7.0 out of 10
    3.7Google20 reviews

    Best for: Outpatient careCARF

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

    View details
  9. Old Vineyard Behavioral Health Service

    Winston Salem, NC

    6.6GoodStartDrugRehab Score 6.6 out of 10
    2.9Google934 reviews

    Best for: Supervised detoxJoint Commission

    Why it made our list: Joint Commission accredited; offers detox, MAT, and dual diagnosis care; accepts private insurance, Medicare, and TRICARE.

    View details
  10. Full Life Counseling and Recovery

    Winston Salem, NC

    5.6FairStartDrugRehab Score 5.6 out of 10
    3.9Google11 reviews

    Best for: Outpatient care

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

    View details

See the best rehab centers in Winston Salem, NC →

All self-pay rehabs in Winston Salem, NC

Addiction Recovery Care Association

Winston Salem, NC 27105

7.3Very goodStartDrugRehab Score 7.3 out of 10
3.5Google69 reviews

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

6.9GoodStartDrugRehab Score 6.9 out of 10
3.2Google1,178 reviews

Joint Commission accredited

Setting
Inpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Hospital Inpatient
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

Old Vineyard Behavioral Health Service

Winston Salem, NC 27104

6.6GoodStartDrugRehab Score 6.6 out of 10
2.9Google934 reviews

Joint Commission accredited

Setting
Inpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Hospital Inpatient
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Medicare · Private insurance · TRICARE +1 more

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

8.3ExcellentStartDrugRehab Score 8.3 out of 10
4.4Google101 reviews

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Intensive Outpatient
  • Outpatient
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

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

Insight Human Services Inc

Winston Salem, NC 27101

7.9Very goodStartDrugRehab Score 7.9 out of 10
4.3Google59 reviews

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Self-pay · Sliding scale +1 more

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

Daymark Recovery Services

Winston Salem, NC 27101

7.8Very goodStartDrugRehab Score 7.8 out of 10
4.1Google243 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 +4 more

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

Monarch – BH Forsyth

Winston Salem, NC 27105

7.1Very goodStartDrugRehab Score 7.1 out of 10

Joint Commission accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +1 more

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

Top Priority Care Services LLC

Winston Salem, NC 27106

7.0Very goodStartDrugRehab Score 7.0 out of 10
3.7Google20 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Full Life Counseling and Recovery

Winston Salem, NC 27104

5.6FairStartDrugRehab Score 5.6 out of 10
3.9Google11 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Private insurance · Self-pay

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

Twin City Counseling Center

Winston Salem, NC 27103

4.6Google19 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Outpatient

Payment accepted

Self-pay

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

More options in Winston Salem, NC

Self-Pay Rehabs in other North Carolina cities

Frequently asked questions

How many self-pay rehabs are in Winston Salem, NC?

We list 13 self-pay rehabs in Winston Salem, NC, 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.