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10 Best Self-Pay Rehabs in Richmond, VA (2026)

We list 16 self-pay rehabs in Richmond, VA, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 16Treatment facilities
  • 4Offer detox
  • 2Inpatient / residential
  • 15Accept 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 Richmond, VA

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. Henrico Area Mental Health and – Developmental Services

    Richmond, VA

    7.9Very goodStartDrugRehab Score 7.9 out of 10
    4.5Google11 reviews

    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.

    View details
  2. Avenues Recovery Center at Richmond

    Richmond, VA

    7.8Very goodStartDrugRehab Score 7.8 out of 10
    5.0Google4 reviews

    Best for: Detox and residential careJoint Commission

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

    View details
  3. FCCR Radford – Pinnacle Treatment

    Richmond, VA

    7.6Very goodStartDrugRehab Score 7.6 out of 10
    4.4Google41 reviews

    Best for: Methadone treatmentCARF

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

    View details
  4. Richmond Southside Treatment Center – Metro Treatment of Virginia LP

    Richmond, VA

    7.5Very goodStartDrugRehab Score 7.5 out of 10
    4.1Google43 reviews

    Best for: Methadone treatmentCARF

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

    View details
  5. Leaders for Life Inc

    Richmond, VA

    7.4Very goodStartDrugRehab Score 7.4 out of 10
    5.0Google2 reviews

    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, Medicaid, and self-pay.

    View details
  6. Family Counseling Center for Recovery – Southlake

    Richmond, VA

    7.3Very goodStartDrugRehab Score 7.3 out of 10
    3.8Google41 reviews

    Best for: Methadone treatmentCARF

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

    View details
  7. Richmond Treatment Center – Metro Treatment of Virginia LP

    Richmond, VA

    6.9GoodStartDrugRehab Score 6.9 out of 10
    3.5Google56 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. Sellati and Co Inc – Broad Street Comprehensive Treatment Center

    Richmond, VA

    6.7GoodStartDrugRehab Score 6.7 out of 10
    3.9Google59 reviews

    Best for: Methadone treatmentCARF

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

    View details
  9. Recoverable LLC

    Richmond, VA

    6.4GoodStartDrugRehab Score 6.4 out of 10

    Best for: Supervised detox

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

    View details
  10. Eminent Behavioral Health

    Richmond, VA

    6.2GoodStartDrugRehab Score 6.2 out of 10

    Best for: Intensive outpatient care

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

    View details

See the best rehab centers in Richmond, VA →

All self-pay rehabs in Richmond, VA

7.8Very goodStartDrugRehab Score 7.8 out of 10
5.0Google4 reviews

Joint Commission accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Private insurance · TRICARE +1 more

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

7.9Very goodStartDrugRehab Score 7.9 out of 10
4.5Google11 reviews

CARF accredited

Setting
In/Outpatient
Operator
Public
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

7.3Very goodStartDrugRehab Score 7.3 out of 10
3.8Google41 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

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

7.6Very goodStartDrugRehab Score 7.6 out of 10
4.4Google41 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

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

7.5Very goodStartDrugRehab Score 7.5 out of 10
4.4Google41 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

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

Payment accepted

Medicaid · Private insurance · Self-pay

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

Leaders for Life Inc

Richmond, VA 23226

7.4Very goodStartDrugRehab Score 7.4 out of 10
5.0Google2 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

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

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

6.0GoodStartDrugRehab Score 6.0 out of 10
3.4Google15 reviews
Setting
In/Outpatient
Operator
Public
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Self-pay · State-funded

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

6.9GoodStartDrugRehab Score 6.9 out of 10
3.5Google56 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.

Recoverable LLC

Richmond, VA 23237

6.4GoodStartDrugRehab Score 6.4 out of 10
Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Partial Hospitalization
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Medicaid · Private insurance · Self-pay

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

Eminent Behavioral Health

Richmond, VA 23225

6.2GoodStartDrugRehab Score 6.2 out of 10
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +1 more

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

Daily Planet Health Services

Richmond, VA 23220

5.9FairStartDrugRehab Score 5.9 out of 10
3.9Google86 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

5.7FairStartDrugRehab Score 5.7 out of 10
3.0Google60 reviews
Setting
Outpatient
Operator
Public
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Self-pay +2 more

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

True Counseling Services Inc

Richmond, VA 23230

6.2GoodStartDrugRehab Score 6.2 out of 10
4.0Google4 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Self-pay · Sliding scale

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

Casselton Consultants

Richmond, VA 23226

3.0Google4 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Outpatient
  • Telehealth

Payment accepted

Self-pay

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

More options in Richmond, VA

Self-Pay Rehabs in other Virginia cities

Frequently asked questions

How many self-pay rehabs are in Richmond, VA?

We list 16 self-pay rehabs in Richmond, VA, 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.