We list 240 self-pay rehabs in Virginia, based on SAMHSA's FindTreatment.gov data, with the most in Richmond (16), Arlington (12), and Winchester (11). 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: Detox and residential careJoint Commission
Why it made our list: Joint Commission accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and TRICARE.
Best for: Private-pay residential careJoint CommissionCARF
Why it made our list: Joint Commission, CARF, COA, and NCQA accredited; offers detox, residential care, PHP, and IOP; accepts private insurance and self-pay.
Best for: Private-pay residential careJoint CommissionCARF
Why it made our list: Joint Commission and CARF accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, TRICARE, and self-pay.
Best for: Private-pay residential careCARF
Why it made our list: CARF accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, TRICARE, and self-pay.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, PHP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, PHP, IOP, and outpatient care; accepts private insurance, TRICARE, and self-pay.
Best for: Residential treatmentCARF
Why it made our list: CARF accredited; offers residential care, PHP, outpatient care, and MAT; accepts private insurance, Medicaid, and TRICARE.
Best for: Residential treatmentJoint Commission
Why it made our list: Joint Commission accredited; offers residential care, PHP, IOP, and MAT; accepts private insurance, Medicaid, and self-pay.
Best for: Detox and residential careCARF
Why it made our list: CARF accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and TRICARE.
Best for: Supervised detoxCARF
Why it made our list: CARF accredited; offers detox, PHP, IOP, and outpatient care; accepts private insurance, Medicaid, and self-pay.
Hopewell, VA 23860
Joint Commission · CARF · COA · NCQA accredited
Levels of care
Payment accepted
Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Norfolk, VA 23518
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Winchester, VA 22601
CARF accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Christiansburg, VA 24073
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Galax, VA 24333
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Salem, VA 24153
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Williamsburg, VA 23188
Joint Commission · CARF accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Salem, VA 24153
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Petersburg, VA 23805
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Chantilly, VA 20151
Joint Commission · COA · NCQA accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Richmond, VA 23235
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Arlington, VA 22204
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Reston, VA 20190
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Alexandria, VA 22312
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Glen Allen, VA 23060
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Virginia Beach, VA 23462
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Milford, VA 22514
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Chesapeake, VA 23321
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Franklin, VA 23851
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Winchester, VA 22603
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Chesapeake, VA 23320
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Chesapeake, VA 23320
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Lynchburg, VA 24501
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Falls Church, VA 22042
Joint Commission · CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Roanoke, VA 24012
COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Arlington, VA 22209
CARF accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Glen Allen, VA 23060
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Arlington, VA 22204
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Henrico, VA 23294
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
We list 240 self-pay rehabs in Virginia, based on SAMHSA's FindTreatment.gov data (updated October 2026).
The most listings are in Richmond (16), Arlington (12), and Winchester (11).
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.
