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10 Best Self-Pay Rehabs in Sioux Falls, SD (2026)

We list 11 self-pay rehabs in Sioux Falls, SD, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 11Treatment facilities
  • 0Offer detox
  • 3Inpatient / residential
  • 8Accept 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 Sioux Falls, SD

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. Avera McKennan Hospital (BHS) – Addiction Recovery Program

    Sioux Falls, SD

    7.3Very goodStartDrugRehab Score 7.3 out of 10

    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, Medicare, and TRICARE.

    View details
  2. BAART Programs Sioux Falls

    Sioux Falls, SD

    7.2Very goodStartDrugRehab Score 7.2 out of 10
    4.3Google15 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
  3. Volunteers of America Dakotas

    Sioux Falls, SD

    6.8GoodStartDrugRehab Score 6.8 out of 10
    3.3Google12 reviews

    Best for: Residential treatmentCOA

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

    View details
  4. Keystone Treatment Center – Outpatient Treatment

    Sioux Falls, SD

    6.7GoodStartDrugRehab Score 6.7 out of 10
    3.6Google14 reviews

    Best for: Intensive outpatient careCARF

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

    View details
  5. Carroll Institute – Outpatient Alcohol and Drug Center

    Sioux Falls, SD

    6.6GoodStartDrugRehab Score 6.6 out of 10
    2.6Google13 reviews

    Best for: Intensive outpatient careCARF

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

    View details
  6. Arch – Residential Substance Use Treatment

    Sioux Falls, SD

    6.5GoodStartDrugRehab Score 6.5 out of 10
    3.4Google27 reviews

    Best for: Residential treatmentCARF

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

    View details
  7. Choices Recovery Services Inc

    Sioux Falls, SD

    5.9FairStartDrugRehab Score 5.9 out of 10
    4.1Google13 reviews

    Best for: Intensive outpatient careCOA

    Why it made our list: COA accredited; offers IOP and outpatient care; accepts Medicaid and self-pay.

    View details
  8. First Step Counseling

    Sioux Falls, SD

    5.7FairStartDrugRehab Score 5.7 out of 10
    4.3Google6 reviews

    Best for: Intensive outpatient care

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

    View details
  9. Counseling Resources

    Sioux Falls, SD

    5.4FairStartDrugRehab Score 5.4 out of 10
    4.1Google9 reviews

    Best for: Outpatient care

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

    View details
  10. Dakota Drug and Alcohol Prevention Inc – Prairie View Prevention Services

    Sioux Falls, SD

    5.3FairStartDrugRehab Score 5.3 out of 10
    4.0Google4 reviews

    Best for: Low-cost outpatient care

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

    View details

See the best rehab centers in Sioux Falls, SD →

All self-pay rehabs in Sioux Falls, SD

6.5GoodStartDrugRehab Score 6.5 out of 10
3.4Google27 reviews

CARF accredited

Setting
Inpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Inpatient / Residential
  • Dual Diagnosis

Payment accepted

Medicaid · Self-pay · State-funded

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

7.3Very goodStartDrugRehab Score 7.3 out of 10

Joint Commission accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

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

Payment accepted

Medicare · Private insurance · TRICARE +1 more

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

BAART Programs Sioux Falls

Sioux Falls, SD 57104

7.2Very goodStartDrugRehab Score 7.2 out of 10
4.3Google15 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.

Volunteers of America Dakotas

Sioux Falls, SD 57105

6.8GoodStartDrugRehab Score 6.8 out of 10
3.3Google12 reviews

COA accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Private insurance · TRICARE +3 more

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

6.6GoodStartDrugRehab Score 6.6 out of 10
2.6Google13 reviews

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

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

Payment accepted

Medicaid · Self-pay · State-funded

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

6.7GoodStartDrugRehab Score 6.7 out of 10
3.6Google14 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Counseling Resources

Sioux Falls, SD 57106

5.4FairStartDrugRehab Score 5.4 out of 10
4.1Google9 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Outpatient
  • Telehealth

Payment accepted

Private insurance · TRICARE · Self-pay

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

Choices Recovery Services Inc

Sioux Falls, SD 57104

5.9FairStartDrugRehab Score 5.9 out of 10
4.1Google13 reviews

COA accredited

Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Telehealth

Payment accepted

Medicaid · Self-pay

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

First Step Counseling

Sioux Falls, SD 57106

5.7FairStartDrugRehab Score 5.7 out of 10
4.3Google6 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient

Payment accepted

Medicaid · Self-pay

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

More options in Sioux Falls, SD

Self-Pay Rehabs in other South Dakota cities

Frequently asked questions

How many self-pay rehabs are in Sioux Falls, SD?

We list 11 self-pay rehabs in Sioux Falls, SD, 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.