We list 23 self-pay rehabs in San Antonio, TX, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.
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
Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank
Best for: Private-pay residential careJoint Commission
Why it made our list: Joint Commission accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, TRICARE, and self-pay.
Best for: Veterans (VA care)Joint CommissionCARF
Why it made our list: Joint Commission and CARF accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient careJoint Commission
Why it made our list: Joint Commission accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, TRICARE, and self-pay.
Best for: Supervised detoxCARF
Why it made our list: CARF accredited; offers detox, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Private-pay residential careJoint Commission
Why it made our list: Joint Commission accredited; offers detox, residential care, MAT, and dual diagnosis care; accepts private insurance, TRICARE, and self-pay.
Best for: Intensive outpatient careJoint Commission
Why it made our list: Joint Commission accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient careCARF
Why it made our list: CARF accredited; offers PHP, IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and self-pay.
Best for: Residential treatmentCARF
Why it made our list: CARF accredited; offers residential care, IOP, outpatient care, and MAT; accepts private insurance and self-pay.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, PHP, IOP, and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Outpatient care with MATCARF
Why it made our list: CARF accredited; offers outpatient care and MAT; accepts private insurance, Medicaid, and Medicare.
San Antonio, TX 78229
Joint Commission · CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78217
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78239
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78259
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78215
CARF accredited
Levels of care
Payment accepted
Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78207
CARF accredited
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale +1 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78228
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78207
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78213
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78223
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78216
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78214
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78201
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78217
CARF accredited
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78216
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78217
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78201
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78209
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78217
Levels of care
Payment accepted
Private insurance · Self-pay · Sliding scale
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78238
NCQA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78207
Levels of care
Payment accepted
Medicaid · Self-pay · State-funded
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78207
Levels of care
Payment accepted
Self-pay · Sliding scale · State-funded
“Get help” calls our free helpline, not this facility.
San Antonio, TX 78201
Levels of care
Payment accepted
Medicaid · Self-pay
“Get help” calls our free helpline, not this facility.
We list 23 self-pay rehabs in San Antonio, TX, based on SAMHSA's FindTreatment.gov data (updated October 2026).
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.
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.
