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5 Best Sliding Scale Rehabs in San Antonio, TX (2026)

We list 6 sliding scale rehabs in San Antonio, TX, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 6Treatment facilities
  • 2Offer detox
  • 3Inpatient / residential
  • 4Accept 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 5 sliding scale rehabs in San Antonio, TX

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. Audie L Murphy Memorial Veterans Hospital – Serving South Texas

    San Antonio, TX

    8.6ExcellentStartDrugRehab Score 8.6 out of 10
    3.5Google760 reviews

    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.

    View details
  2. San Antonio Lifetime Recovery Inc – Lifetime Recovery Outpatient

    San Antonio, TX

    7.7Very goodStartDrugRehab Score 7.7 out of 10
    4.1Google31 reviews

    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.

    View details
  3. Center for Healthcare Services – Community Crisis Response Services

    San Antonio, TX

    6.7GoodStartDrugRehab Score 6.7 out of 10
    3.2Google42 reviews

    Best for: Detox and residential careCARF

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

    View details
  4. Alamo City Treatment Services – Addiction Counselor Training School

    San Antonio, TX

    5.7FairStartDrugRehab Score 5.7 out of 10
    4.5Google4 reviews

    Best for: Low-cost outpatient care

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

    View details
  5. Alamo Area Resource Center Inc

    San Antonio, TX

    5.4FairStartDrugRehab Score 5.4 out of 10
    3.9Google80 reviews

    Best for: Low-cost outpatient care

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

    View details

See the best rehab centers in San Antonio, TX →

All sliding scale rehabs in San Antonio, TX

8.6ExcellentStartDrugRehab Score 8.6 out of 10
3.5Google760 reviews

Joint Commission · CARF accredited

Setting
In/Outpatient
Operator
Public
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +4 more

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

7.7Very goodStartDrugRehab Score 7.7 out of 10
4.1Google31 reviews

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +2 more

Payment accepted

Medicaid · Private insurance · Self-pay +2 more

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

Alamo Area Resource Center Inc

San Antonio, TX 78207

5.4FairStartDrugRehab Score 5.4 out of 10
3.9Google80 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Self-pay · Sliding scale · State-funded

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

More options in San Antonio, TX

Sliding Scale Rehabs in other Texas cities

Frequently asked questions

How many sliding scale rehabs are in San Antonio, TX?

We list 6 sliding scale rehabs in San Antonio, TX, 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.