Treatment Centers in Pennsylvania

Pennsylvania is ranked 26th nationwide in terms of addiction treatment affordability, with an average cost of drug and alcohol rehab of $56,708 (without insurance).

• Medical detox is the most expensive, with an average cost of $139,806
• Long-term inpatient drug rehab in Pennsylvania costs an average of $50,041
• Outpatient addiction treatment in Pennsylvania costs an average of $8,315
• Outpatient methadone treatment is the most affordable, with an average cost of $7,388

Keep in mind these costs are averages for all types of addiction treatment, including medically supervised detox and residential inpatient rehab, both of which drive up the average. These numbers also reflect the full cost of drug rehab without any insurance coverage. Most individuals can expect to pay far less than these prices for more typical outpatient drug treatment, MAT, and addiction therapy.

Cost of Drug Rehab in Pennsylvania Compared to Nearby States

Here is how much addiction treatment costs in Pennsylvania vs nearby states like New York, Ohio, and New Jersey.

As of 2024, there were over 640 drug rehab facilities across the state of Pennsylvania. These facilities accept several payment methods. Of those treatment facilities, the following numbers reflect how many accept their respective payment methods:

555 accept self-payment or cash

287 offer sliding-scale fees for those without insurance

513 accept Medicaid insurance coverage

313 accept state funded insurance coverage

453 accept private health insurance

213 offer free or low-cost treatment

5 offer free treatment for all clients

5 accept tribal funding

Private Pay and Insurance

There are many major commercial health insurance carriers in the state of Pennsylvania. As of 2024 there were 14 insurance companies offering plans on the Insurance Marketplace. Commercial insurance providers include:

Highmark Blue Cross Blue Shield 

Highmark works with Bright Heart Health to provide members with alcohol and substance use disorders options for treatment. These include in-network individual and group therapy, Medication Assisted Treatment (MAT) and 24/7 virtual support options. Inpatient treatment may be included, participants need to check with Highmark to determine if this is a covered service and what the cost will be.

Cigna 

Cigna of Pennsylvania offers members many choices when it comes to alcohol and substance use disorder treatment. After an evaluation and assessment by Cigna health professionals, they work with clients to determine which level of care is most appropriate and which treatment option is best to meet their individual needs.

These could include inpatient and outpatient hospitalization, inpatient and outpatient detox, Intensive Outpatient Programs, and individual and family therapy. The amount of out-of-pocket costs depend on the individual’s plan coverage. Participants will need to contact Cigna to find out what out-of-pocket costs will be.

Aetna

Aetna insurance of Pennsylvania covers many treatment options. They offer members virtual counseling with licensed clinicians through Elenorhealth.com, Medication Assisted Treatment( MAT), some inpatient rehabilitation and outpatient alcohol and substance use disorder counseling. Participants will need to check with their insurance provider for coverage information and out-of-pocket costs.

UPMC Health Plan 

UPMC Health Plan of Pennsylvania covers a number of treatment options for those experiencing alcohol and substance use disorders. Additionally, they offer virtual counseling services for those with co-occuring mental health concerns such as anxiety and depression.

UPMC Health Plan is affiliated with the University of Pittsburgh Medical Center and offers their UPMC Western Behavioral Health Addiction Medicine Services which provides in-patient and out-patient options including medication assisted treatment and detox, intensive outpatient programs, substance abuse education and prevention, and case management.

United Health Care 

For those with United Health Care, coverage differs from plan to plan. The company suggests you check your benefits summary to determine what services and at what cost are covered for Alcohol and Substance Abuse.

According to the Affordable Care Act, signed into law in 2010. Substance Use Disorders must be a covered benefit at the same parity of medical and surgical coverage for most insurance providers.

Medicaid

Medicaid in Pennsylvania, also referred to as Medical Assistance, is a government funded health insurance for those who financially qualify or meet other guidelines such as disability status and age. Alcohol and substance use disorder treatment is a covered benefit. Participants will have to check with their provider to find out what type of treatment plans are available under their benefits summary.

Medicare

Alcohol and Substance Use Disorder are covered under Medicare plans. These treatment plans could include inpatient and outpatient treatment, medication assisted treatment, and in person and virtual counseling services.

The type of Medicare a participant has will determine what services are covered as well as how much a person is expected to pay out of pocket. Moreover, participants are required to use in- network providers for their treatment plans.

Military Insurance

TRICARE and VA benefits are accepted at participating providers throughout the state of Pennsylvania . For those with alcohol and substance use disorders, the Veterans Administration offers inpatient and outpatient services at their clinics and hospitals at no cost.

Tribal Funding Programs

All individuals of Native American or Alaska Native descent are eligible for health care and Medicaid through the Indian Health Service (IHS). Alcohol and substance use disorder treatment are covered services.

Other Low Cost Treatment Options

For those individuals without commercial insurance, government sponsored insurance, or insurance through military service, some providers will accept sliding scale payment options, no fee for service, or financial aid. Clients will need to speak with service providers to find out what options are available to them.

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