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7 Best Sliding Scale Rehabs in Seattle, WA (2026)

We list 8 sliding scale rehabs in Seattle, WA, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 8Treatment facilities
  • 0Offer detox
  • 1Inpatient / residential
  • 8Accept 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 7 sliding scale 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. 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
  2. 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
  3. Sound – Capitol Hill Main

    Seattle, WA

    7.0Very goodStartDrugRehab Score 7.0 out of 10
    2.7Google46 reviews

    Best for: Intensive outpatient careCARF

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

    View details
  4. 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
  5. Evergreen Treatment Services – Seattle Clinic

    Seattle, WA

    6.0GoodStartDrugRehab Score 6.0 out of 10
    4.2Google461 reviews

    Best for: Methadone treatment

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

    View details
  6. Ryther

    Seattle, WA

    5.9FairStartDrugRehab Score 5.9 out of 10
    3.1Google48 reviews

    Best for: Outpatient care with MATCOA

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

    View details
  7. WAPI Community Services – Seattle

    Seattle, WA

    5.3FairStartDrugRehab Score 5.3 out of 10
    4.0Google1 review

    Best for: Low-cost outpatient care

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

    View details

See the best rehab centers in Seattle, WA →

All sliding scale rehabs in Seattle, WA

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.

Sound – Capitol Hill Main

Seattle, WA 98122

7.0Very goodStartDrugRehab Score 7.0 out of 10
2.7Google46 reviews

CARF accredited

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.

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.

6.0GoodStartDrugRehab 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.

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.

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

Sliding Scale Rehabs in other Washington cities

Frequently asked questions

How many sliding scale rehabs are in Seattle, WA?

We list 8 sliding scale 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.