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10 Best Self-Pay Rehabs in Seattle, WA (2026)

We list 21 self-pay rehabs in Seattle, WA, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 21Treatment facilities
  • 2Offer detox
  • 2Inpatient / residential
  • 18Accept 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 Seattle, WA

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. Northpoint Recovery – Seattle

    Seattle, WA

    8.2ExcellentStartDrugRehab Score 8.2 out of 10
    4.8Google369 reviews

    Best for: Intensive outpatient careJoint Commission

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

    View details
  2. VA Puget Sound Healthcare System – Seattle Division

    Seattle, WA

    7.9Very goodStartDrugRehab Score 7.9 out of 10
    3.8Google575 reviews

    Best for: Veterans (VA care)Joint Commission

    Why it made our list: Joint Commission accredited; offers detox, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  3. Harborview Mental Health and Addiction

    Seattle, WA

    7.8Very goodStartDrugRehab Score 7.8 out of 10

    Best for: Intensive outpatient careJoint Commission

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

    View details
  4. Consejo Youth and Family Services

    Seattle, WA

    7.5Very goodStartDrugRehab Score 7.5 out of 10
    3.0Google2 reviews

    Best for: Intensive outpatient careJoint Commission

    Why it made our list: Joint Commission accredited; offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and self-pay.

    View details
  5. Therapeutic Health Services – Shoreline Branch

    Seattle, WA

    7.4Very goodStartDrugRehab Score 7.4 out of 10
    3.4Google36 reviews

    Best for: Methadone treatmentCARF

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

    View details
  6. Imagine by Northpoint – Seattle

    Seattle, WA

    7.4Very goodStartDrugRehab Score 7.4 out of 10
    4.0Google21 reviews

    Best for: Intensive outpatient careJoint Commission

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

    View details
  7. Center for Human Services – Shoreline

    Seattle, WA

    7.3Very goodStartDrugRehab Score 7.3 out of 10
    4.0Google45 reviews

    Best for: Intensive outpatient careCARF

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

    View details
  8. Sea Mar Behavioral Health – White Center

    Seattle, WA

    7.0Very goodStartDrugRehab Score 7.0 out of 10
    3.3Google9 reviews

    Best for: Intensive outpatient careJoint Commission

    Why it made our list: Joint Commission accredited; offers IOP, outpatient care, and MAT; accepts Medicaid, Medicare, and self-pay.

    View details
  9. Asian Counseling and Referral Service

    Seattle, WA

    6.5GoodStartDrugRehab Score 6.5 out of 10
    3.9Google41 reviews

    Best for: Intensive outpatient care

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

    View details
  10. Horizon Health Seattle

    Seattle, WA

    6.4GoodStartDrugRehab Score 6.4 out of 10
    5.0Google10 reviews

    Best for: Intensive outpatient care

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

    View details

See the best rehab centers in Seattle, WA →

All self-pay rehabs in Seattle, WA

7.9Very goodStartDrugRehab Score 7.9 out of 10
3.8Google575 reviews

Joint Commission accredited

Setting
In/Outpatient
Operator
Public
MAT
Offered

Levels of care

  • Detox
  • Hospital Inpatient
  • Intensive Outpatient
  • +5 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

6.6GoodStartDrugRehab Score 6.6 out of 10
2.7Google39 reviews

Joint Commission accredited

Setting
Inpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Medication-Assisted Treatment
  • Dual Diagnosis

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

7.4Very goodStartDrugRehab Score 7.4 out of 10
3.4Google36 reviews

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +4 more

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

7.3Very goodStartDrugRehab Score 7.3 out of 10
4.0Google45 reviews

CARF accredited

Setting
Outpatient
Operator
Nonprofit
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.

7.5Very goodStartDrugRehab Score 7.5 out of 10
3.0Google2 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

7.8Very goodStartDrugRehab Score 7.8 out of 10

Joint Commission accredited

Setting
Outpatient
Operator
Public
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

7.4Very goodStartDrugRehab Score 7.4 out of 10
4.0Google21 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

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

Payment accepted

Medicaid · Private insurance · TRICARE +1 more

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

8.2ExcellentStartDrugRehab Score 8.2 out of 10
4.8Google369 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Private insurance · TRICARE +1 more

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

7.0Very goodStartDrugRehab Score 7.0 out of 10
3.3Google9 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Medicaid · Medicare · Self-pay +2 more

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

6.1GoodStartDrugRehab Score 6.1 out of 10
4.3Google12 reviews
Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Hospital Inpatient
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

5.9FairStartDrugRehab Score 5.9 out of 10
Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Self-pay

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

A Positive Alternative

Seattle, WA 98103

5.9FairStartDrugRehab Score 5.9 out of 10
3.9Google8 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

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

Payment accepted

Private insurance · Self-pay

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

6.5GoodStartDrugRehab Score 6.5 out of 10
3.9Google41 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

6.0GoodStartDrugRehab Score 6.0 out of 10
4.2Google461 reviews
Setting
Outpatient
Operator
Nonprofit
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.

Horizon Health Seattle

Seattle, WA 98133

6.4GoodStartDrugRehab Score 6.4 out of 10
5.0Google10 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

6.2GoodStartDrugRehab Score 6.2 out of 10
4.2Google11 reviews
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.

Ryther

Seattle, WA 98115

5.9FairStartDrugRehab Score 5.9 out of 10
3.1Google48 reviews

COA accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

Sunrise Centers

Seattle, WA 98168

6.0GoodStartDrugRehab Score 6.0 out of 10
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

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

Payment accepted

Private insurance · Self-pay

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

4.7FairStartDrugRehab Score 4.7 out of 10
1.5Google10 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Telehealth

Payment accepted

Self-pay

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

Rekindle Clinic LLC

Seattle, WA 98108

5.8FairStartDrugRehab Score 5.8 out of 10
5.0Google2 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Medicare · Self-pay

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

5.3FairStartDrugRehab Score 5.3 out of 10
4.0Google1 review
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Outpatient
  • Telehealth

Payment accepted

Medicaid · Self-pay · Sliding scale

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

More options in Seattle, WA

Self-Pay Rehabs in other Washington cities

Frequently asked questions

How many self-pay rehabs are in Seattle, WA?

We list 21 self-pay rehabs in Seattle, WA, 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.