La Hacienda Treatment Center
Hunt, TX
78024
Expert Insights
As a mental health professional helping Houston residents battling addictions to prescriptions medicines, I have witnessed how helpless addiction can make people feel.
The journey of progressing from a legitimate prescription like pain relievers after surgery or stimulants for ADHD to dependency when medical oversight ends is a journey that I wish everyone could be spared from.
451,000 individuals in Texas struggle with prescription use disorders according to the SAMHSA, and then University of Texas notes that 13.2% of university students misuse prescription stimulants. Our state ranks among the lowest states for access to mental health services according to a peer-reviewed article in Cureus.
This means vulnerable populations in desperate need of addressing trauma and learning coping skills to rebuild their lives are left behind. Addiction is a treatable condition and we must do better.
How Much Does Drug Rehab Cost in Texas?
Texas is more affordable than most states for drug rehab (18th nationally, where 1 is the most affordable of the 50 states). The average cost of care here is $56,623, the average full cost of care before insurance. If you have a Marketplace health plan, your 2026 out-of-pocket maximum is no more than $10,600 for an individual or $21,200 for a family. That is the most you have to pay for covered, in-network services in a plan year. You can ask a program and your plan what you would pay.
$139,596
Medical detox is the most expensive, with an average cost of $139,596
$49,966
Inpatient rehab in Texas costs an average of $49,966
$8,302
Outpatient rehab in Texas costs an average of $8,302
$7,377
Outpatient methadone treatment is the most affordable, with an average cost of $7,377
Inpatient Rehab Cost in Texas Compared to Nearby States
The bars show the average cost of inpatient rehab paid without insurance in Texas and three nearby states: Louisiana, New Mexico and Oklahoma. Texas comes in second lowest of the five and close to the national average. For you, that means paying for care here looks a lot like paying for it across the country.
How to Pay for Drug Rehab in Texas
Texas has 1,000+ treatment programs, and how you pay for care can look different from one to the next. Private insurance, self-pay, Texas Medicaid, Medicare, military coverage and low-cost options all exist across the state. You can ask any program what it takes before you commit.
1,020 accept self-payment or cash
854 accept private health insurance
450 accept Texas Medicaid
292 accept Medicare
301 offer sliding-scale fees
376 offer financial assistance
48 offer free treatment
223 offer financing
Private Pay + Insurance
Nearly all Texas programs let you pay out of pocket, and most take private insurance. If you have a plan, you can ask a program whether it works with your rehab insurance and what your share of the cost would be.
Medicaid
Many Texas programs take Texas Medicaid. The program includes substance use disorder services such as withdrawal management, residential treatment, outpatient treatment and medication assisted treatment, including care from opioid treatment providers. If you have Texas Medicaid, ask a program whether it takes your plan.
Medicare
Some Texas programs take Medicare. If you have Medicare, you can ask a program whether it accepts your coverage and what you would pay.
Military Insurance
TRICARE moved from the TRICARE East Region to the TRICARE West Region on January 1, 2025, one of six states to move. TriWest Healthcare Alliance is the regional contractor. Veterans can find VA care at the Dallas VA Medical Center, the Central Texas Veterans Health Care System and the Michael E. DeBakey VA Medical Center. The South Texas Veterans Health Care System, the Amarillo VA Health Care System and the West Texas VA Health Care System serve veterans too. You can find more military and veterans resources across the state.
Tribal Funding and Programs
Three federally recognized tribal nations are based in Texas: the Alabama-Coushatta Tribe of Texas, the Kickapoo Traditional Tribe of Texas and the Ysleta del Sur Pueblo. Under an August 2025 Indian Health Service (IHS) update, three IHS Areas cover IHS, tribal and urban Indian organization facilities in Texas: Nashville, Albuquerque and Oklahoma City. The Urban Inter-Tribal Center of Texas is an urban Indian organization facility under the Oklahoma City Area. If you are a tribal member, you can ask your nation’s health program or the Center about substance use services.
Other Low-Cost Options
Some Texas programs offer sliding scale fees based on what you can pay, and some offer financial assistance, financing or free care. You can ask any program what low-cost options it has before you start.
Rehab in Texas: What to Know
Texas has 1,000+ addiction treatment programs, and your way into publicly funded care starts close to home. Your first call is your local outreach, screening, assessment and referral center, known as an OSAR. You can reach the OSAR in your region 24 hours a day, seven days a week, for immediate, confidential help with substance use. After you make contact, your services and treatment plan depend on your situation. They can include screening, assessment, detox, residential treatment, outpatient treatment and case management. You may qualify for services based on need, whatever you can pay.
The Texas Health and Human Services Commission runs and funds these services for adults and youth across Texas. Its Substance Use Service Locations map shows OSARs and substance use services near you, so you know where to call. The commission also licenses and regulates chemical dependency treatment facilities. That means a program needs a state license to operate, and you can ask any program about its license before you start.
One statewide effort, the Texas Targeted Opioid Response, expands access to prevention, treatment and recovery support for Texans with opioid and stimulant use disorders. If opioids or stimulants are part of your life, it can mean more ways into care. Texas Medicaid runs under a state plan approved by the Centers for Medicare and Medicaid Services.
Free and Low-Cost Rehab Resources in Texas
Free and low-cost help reaches across Texas. You can call or text crisis and support lines, find care for veterans, or join family and peer support groups. There are harm reduction programs and recovery housing too. Anyone in Texas can order free naloxone online from Naloxone Texas, a statewide program run by The University of Texas at San Antonio with 10 community hubs. If you or someone close to you needs suicide prevention support, you can call or text for help at any hour.
Crisis and Support Lines
- 988 Suicide & Crisis Lifeline: Free, confidential support by call, text or chat, 24/7, including for alcohol or drug use concerns. 988
- SAMHSA National Helpline: Free, confidential treatment referral and information for mental and substance use disorders, 24/7, in English and Spanish. 1-800-662-HELP (4357)
Community and Nonprofit Programs
- NAMI Texas: Free mental health support, online groups, resources and education across Texas. 512-693-2000
- Texas Al-Anon / Alateen: Free peer support meetings for people affected by someone else’s drinking, with Al-Anon and Alateen groups across Texas. texas-al-anon.org
- Recovery Resource Council (Fort Worth): Substance use screenings, referrals, outpatient treatment, overdose follow-up, recovery support, peer services and housing services across North Texas. recoverycouncil.org
- The Council on Recovery (Houston): Prevention, education, treatment and recovery services in Houston for anyone in need, regardless of ability to pay. 855.942.4100
Harm Reduction
- Naloxone Texas: Free naloxone and overdose response training to organizations and individuals across Texas, by mail and through regional distribution hubs. naloxonetexas.com
- Texas Harm Reduction Alliance (Austin): Drop-in center and street outreach in Austin offering overdose prevention supplies, peer support, treatment linkage and free statewide training. (512) 893-3237
VA and Military
- Dallas VA Medical Center (Dallas): Primary care and specialty health services including cardiology, mental health services, spinal cord injury treatment, and suicide prevention. 800-849-3597
- Central Texas Veterans Health Care System (Temple): VA health care system headquartered in Temple, with the Olin E. Teague Veterans’ Center and clinics across Central Texas. 800-423-2111
Government and Medicaid
- 2-1-1 Texas: 24/7 information and referral to local programs and services, run by Texas Health and Human Services. 2-1-1 or (877) 541-7905
Recovery Support
- RecoveryPeople: Low-to-no cost events and services for individuals and families in recovery, statewide. recoverypeople.org
- Oxford Houses of Texas: Statewide network of peer-run recovery homes where residents share an alcohol-free and drug-free home. oxfordhousetx.org
- Association of Persons Affected by Addiction (Dallas): Peer-to-peer recovery support for people and families, with recovery community centers in Dallas and Kaufman County. (214) 634-APAA (2722)
Drug and Alcohol Use Statistics in Texas
Texas has 1,000+ treatment programs, and the state’s drug and alcohol use statistics show why they matter. Most Texans aged 12 or older who needed substance use treatment in the past year did not get it. Efforts like the Texas Targeted Opioid Response and the OSAR centers aim at that gap, so you have more than one way into care.
15.8
Drug overdose deaths per 100,000 people in Texas, 2024
14.6%
Texans 12 and older with a substance use disorder in the past year, 2023-2024
79.5%
Texans 12 and older who needed substance use treatment and did not receive it, 2024
14.7%
Adults in Texas who binge drank in the past month, 2025
Set against the nation, Texas tells two stories. Drug overdose deaths here run well below the national rate and below all three nearby states. Binge drinking runs the other way: the share of Texas adults who binge drank in the past month sits just above the national median. And fewer Texans than the national share had a substance use disorder in the past year.
Resources
- Texas Health and Human Services Commission. Prenatal Screening for Domestic Violence and Substance Use. https://www.hhs.texas.gov/providers/health-services-providers/prenatal-screening-domestic-violence-substance-use
- Texas Health and Human Services Commission. Outreach, Screening, Assessment and Referral. https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-substance-use-resources/outreach-screening-assessment-referral
- Texas Health and Human Services Commission. Substance Use Disorder Services. https://hhs.texas.gov/providers/behavioral-health-services-providers-programs/substance-use-disorder-services
- Texas Health and Human Services Commission. Chemical Dependency Treatment Facilities. https://hhs.texas.gov/providers/health-care-facilities-regulation/chemical-dependency-treatment-facilities
- Texas Health and Human Services Commission. Texas Targeted Opioid Response. https://www.hhs.texas.gov/services/mental-health-substance-use/adult-substance-use/texas-targeted-opioid-response
- Texas Health and Human Services Commission. (2026). State Plan. https://www.hhs.texas.gov/services/health/medicaid-chip/about-medicaid-chip/state-plan
- Addictions.com analysis.
- HealthCare.gov. (2026). Out-of-pocket maximum/limit. https://www.healthcare.gov/glossary/out-of-pocket-maximum-limit/
- TRICARE Newsroom (Defense Health Agency). (2024-08-30). Know How TRICARE Regions Are Changing in 2025. https://newsroom.tricare.mil/News/TRICARE-News/Article/3890556/know-how-tricare-regions-are-changing-in-2025
- Indian Health Service. (2025-08-31). August 31, 2025: IHS Updates for Tribes and Tribal and Urban Indian Organizations. https://ihs.gov/NEWSROOM/ihs-updates/2025-updates/august-31-2025-ihs-updates-for-tribes-and-tribal-and-urban-indian-organizations
- Texas Health and Human Services Commission. (2025). HHSC Highlights Resources During Fentanyl Poisoning Awareness Month. https://www.hhs.texas.gov/news/2025/10/hhsc-highlights-resources-during-fentanyl-poisoning-awareness-month
- Naloxone Texas (UT Health San Antonio). Naloxone Distribution Across Texas. https://naloxonetexas.com/distribution
- CDC National Center for Health Statistics. (2024). https://www.cdc.gov/nchs/state-stats/deaths/drug-overdose.html
- SAMHSA National Survey on Drug Use and Health (NSDUH). (2023-2024). https://www.samhsa.gov/data/data-we-collect/nsduh-national-survey-drug-use-and-health/state-releases/2023-2024
- CDC Behavioral Risk Factor Surveillance System (BRFSS). (2025). https://data.cdc.gov/d/dttw-5yxu
- SAMHSA National Survey on Drug Use and Health (NSDUH). (2024). https://www.samhsa.gov/data/data-we-collect/nsduh-national-survey-drug-use-and-health/state-releases/2023-2024
