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9 Best Sliding Scale Rehabs in Spokane, WA (2026)

We list 10 sliding scale rehabs in Spokane, WA, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 10Treatment facilities
  • 0Offer detox
  • 1Inpatient / residential
  • 9Accept 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 9 sliding scale rehabs in Spokane, 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. NATIVE Project

    Spokane, WA

    7.2Very goodStartDrugRehab Score 7.2 out of 10
    4.5Google299 reviews

    Best for: Intensive outpatient careNCQA

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

    View details
  2. Excelsior Wellness Center

    Spokane, WA

    6.6GoodStartDrugRehab Score 6.6 out of 10
    2.6Google17 reviews

    Best for: Intensive outpatient careCOA

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

    View details
  3. Spokane Addiction Recovery Centers – Westbrook House

    Spokane, WA

    6.2GoodStartDrugRehab Score 6.2 out of 10
    4.4Google8 reviews

    Best for: Residential treatment

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

    View details
  4. Courage to Change Inc

    Spokane, WA

    6.1GoodStartDrugRehab Score 6.1 out of 10
    3.7Google19 reviews

    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
  5. Riverside Recovery Center – Spokane

    Spokane, WA

    6.0GoodStartDrugRehab Score 6.0 out of 10
    3.8Google24 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
  6. Spokane Comprehensive Treatment Center – WCHS Inc

    Spokane, WA

    6.0GoodStartDrugRehab Score 6.0 out of 10
    3.5Google58 reviews

    Best for: Methadone treatmentCOANCQA

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

    View details
  7. At PARR Outpatient Services LLC

    Spokane, WA

    5.8FairStartDrugRehab Score 5.8 out of 10
    3.3Google6 reviews

    Best for: Intensive outpatient care

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

    View details
  8. Partners with Families and Children

    Spokane, WA

    5.7FairStartDrugRehab Score 5.7 out of 10
    2.9Google19 reviews

    Best for: Intensive outpatient care

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

    View details
  9. Adept Assessment Center – Adept

    Spokane, WA

    5.4FairStartDrugRehab Score 5.4 out of 10
    2.7Google12 reviews

    Best for: Intensive outpatient care

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

    View details

See the best rehab centers in Spokane, WA →

All sliding scale rehabs in Spokane, WA

6.2GoodStartDrugRehab Score 6.2 out of 10
4.4Google8 reviews
Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • 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.

Excelsior Wellness Center

Spokane, WA 99208

6.6GoodStartDrugRehab Score 6.6 out of 10
2.6Google17 reviews

COA accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +4 more

Payment accepted

Medicaid · Medicare · Private insurance +4 more

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

Courage to Change Inc

Spokane, WA 99224

6.1GoodStartDrugRehab Score 6.1 out of 10
3.7Google19 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

NATIVE Project

Spokane, WA 99201

7.2Very goodStartDrugRehab Score 7.2 out of 10
4.5Google299 reviews

NCQA accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

5.9FairStartDrugRehab Score 5.9 out of 10
3.6Google24 reviews
Setting
Outpatient
Operator
Nonprofit
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
3.5Google58 reviews

COA · NCQA accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +4 more

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

5.4FairStartDrugRehab Score 5.4 out of 10
2.7Google12 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

5.8FairStartDrugRehab Score 5.8 out of 10
3.3Google6 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis

Payment accepted

Private insurance · Self-pay · Sliding scale

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

5.7FairStartDrugRehab Score 5.7 out of 10
2.9Google19 reviews
Setting
Outpatient
Operator
Nonprofit
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.

6.0GoodStartDrugRehab Score 6.0 out of 10
3.8Google24 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

More options in Spokane, WA

Sliding Scale Rehabs in other Washington cities

Frequently asked questions

How many sliding scale rehabs are in Spokane, WA?

We list 10 sliding scale rehabs in Spokane, 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.