Top 30 Alcohol & Drug Rehab Centers in Missouri & Free Treatment Resources

Find the best addiction treatment centers in Missouri. Browse 400+ outpatient rehabs, 180+ inpatient rehabs, and 160+ detox clinics in the state. Get the answer to common rehab FAQs including how much rehab costs in Missouri, substance abuse statistics, and important drug laws.
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Expert Insights

Over the last five years there has been a 500% increase in opioid related deaths in the Black community of St. Louis, Missouri. Researchers and treatment specialists state a new approach is needed to halt this unfortunate statistic in its tracks. The real question here is, “Are we willing to own the fact that inequality is the real issue creating this problem?” If you look at the lack of resources reaching poverty stricken areas, you have no choice but to see where the origin of the problem begins and who is responsible for it.

~ Lesley Wirth

How Much Does Drug Rehab Cost in Missouri?

Missouri is ranked 29th nationwide in terms of addiction treatment affordability, with an average cost of drug and alcohol rehab of $56,782 (without insurance).

  • Medical detox is the most expensive, with an average cost of $139,988
  • Long-term inpatient drug rehab in Missouri costs an average of $50,107
  • Outpatient addiction treatment in Missouri costs an average of $8,326
  • Outpatient methadone treatment is the most affordable, with an average cost of $7,397

The cost of care can range from very expensive care at a luxury treatment center to low-cost care at facilities that aim to serve people of all income levels. Your out-of-pocket expenses will depend on factors including:

Inpatient vs. outpatient rehab

Where the facility is located

Insurance plans accepted

Amenities and features (luxury vs. standard)

Length of stay

How to Find Free Drug Rehab Centers in Missouri

As of 2024, there were over 290 drug rehab facilities across the state of Missouri. These facilities accept several payment methods. Of those treatment facilities, the following numbers reflect how many offer free or low-cost addiction treatment services:

If cost is a barrier, you can find free, low-cost, or sliding-scale facilities in Missouri. Some addiction treatment centers offer payment plans, with or without interest.

Missouri also has a program to provide substance abuse help for certain priority groups. The Comprehensive Substance Treatment and Rehabilitation (CSTAR) program treats women with children, adolescents, and others with opioid addiction.3 They may be inpatient or outpatient. The state contracts with facilities around Missouri to provide care.

Does Insurance Cover Rehab Center Costs?

Under the Affordable Care Act, all insurance policies must cover some rehab. Private insurance, Medicaid, Medicare, and military insurance will all include addiction treatment. Your insurance company will likely have a network of providers that they work with; choosing those facilities will keep your out-of-pocket costs lower. Call your insurance company to find a list of covered treatment centers.

Private Insurance

Private health insurance providers provide coverage for addiction treatment services like outpatient, PHP, IOP, and inpatient. Some popular providers are Blue Cross Blue Shield, Aetna, Cigna, and United.


Missouri Medicaid, also called MO HealthNet, provides health insurance coverage to low-income families and individuals. This also includes coverage for drug and alcohol rehab.


Missouri Medicare provides health coverage to people 65 and older and covers a variety of substance abuse treatment services.

How Do You Pay for Alcohol and Drug Rehab in Missouri?

If you are uninsured, private or non-profit treatment facilities may allow self-payment. Some will work with you to adjust the cost to what you can reasonably afford.

Most facilities and detox centers will need you to demonstrate financial need before they offer reduced fees or payment plans. The staff at the center can tell you what information is required. You may need to show income statements, tax returns, insurance coverage, and other financial records.

If your workplace has an Employee Assistance Plan (EAP), it may include some financial assistance for addiction treatment. The EAP administrator can tell you what is included in your plan.

Find a Program That Offers Payment Plans: Some facilities may offer a payment plan to those who do not have enough money to cover the cost of care all at once. This will help you pay off the costs that fall to you after insurance pays its share. The facility will create a payment schedule so you can spread payments out over time.

Apply for a Scholarship: Limited opportunities exist for scholarships or grants that cover the costs of treatment. You typically need to apply for these funds, and there is no guarantee that you will receive assistance. You can learn more about these options by speaking to staff at your facilities.

Sliding-Scale Program: Sliding scale fees are adjusted based on the patient’s ability to pay. Many facilities use this type of formula to provide access to as many people as possible. The staff at the facility will go over your financial situation with you and discuss any insurance coverage you have. After that, the site will determine what you will be charged.

What Are Alcohol and Drug Use Statistics in Missouri?

According to statistics from 2021, 13.2% of adults in Missouri say they used drugs (excluding cannabis) for non-medical reasons.1 In addition, 18.5% of adults in Missouri reported excessive drinking in 2020, including past-month binge drinking or heavy drinking.2

Does Missouri Have Strict Alcohol and Drug Laws?

Missouri has some of the nation’s strictest drug laws:8

Marijuana: The state has not decriminalized marijuana for any reason. Any possession of marijuana is illegal. Penalties start with a misdemeanor punishable by a fine for a first offense of possessing small amounts of the drug. Possessing larger amounts and cultivating and distributing marijuana are felony offenses that can bring jail time.

Other Drugs: Drug crimes are punished according to state sentencing guidelines.9 Possession of any other illegal substance is a felony punishable by up to seven years in prison. The distribution of drugs is a felony that brings a sentence of up to 15 years. Distribution near a school, park, or government building can result in a life sentence.10

Alternative Sentencing: Some people are eligible for alternative sentencing.11 First-time nonviolent offenders, people on probation, and formerly incarcerated people returning to the community from the Department of Corrections may be eligible for treatment through Missouri’s drug court. The program can be voluntary or ordered as a condition of probation and parole. Participants go to state-run individual counseling and group counseling, and they are expected to work or get job training as part of the program.

Good Samaritan Law: Missouri has a Good Samaritan law to provide assistance to someone during an overdose.12 This means if you call for assistance during an overdose, you will not be prosecuted for possession of drugs. The law protects only those who actively seek treatment for someone during an overdose. Merely being present at the scene does not confer automatic immunity.

Naloxone Access: There is broad access to naloxone in Missouri.13 The state allows anyone to obtain naloxone and administer it to someone who is overdosing. A statewide standing order allows pharmacies to sell naloxone to anyone who asks for it, even without a prescription. The state also works with community organizations and local health departments to distribute naloxone.

Understanding Common Addiction Treatment Settings

Medical Detox

Quitting drugs can sometimes result in dangerous withdrawal symptoms. Professional detox treatment can administer medications and medical care to reduce these symptoms and help you feel more comfortable.


Inpatient care is a good option for those seeking full-time treatment in a controlled environment. You will live in a facility for the duration of your program, which may last 30, 60, or 90 days. Staff will supervise all activities, and you will participate in extensive therapy sessions.

Partial Hospitalization Programs (PHPs)

PHPs are the highest level of care you can receive while still living at home. You attend care every day for several hours each day, for a total of about 30 hours per week. This is commonly referred to as day treatment.

Intensive Outpatient Programs (IOPs)

IOPs typically involve just a few hours of care, for three to five days per week. They are typically a bridge between PHP and standard outpatient,

Standard Outpatient

You go to therapy and counseling at a therapist’s office or clinic for a couple of hours each week.


An aftercare plan will come in the form of ongoing support that can help your sobriety and help prevent relapse. You may continue going to therapy and/or attend support groups.

Specialized Drug Rehabs in Missouri

There are hundreds of Missouri drug rehabs, each with unique qualities. You can narrow down your search based on what amenities are important to you in a facility. Be thorough when asking about treatment methods; make sure any program you consider is properly credentialed and uses evidence-based therapy methods.


Holistic rehab has a core program of evidence-based therapy and offers additional services that complement standard care. These often focus on the whole person, not simply managing addiction. You may have access to acupuncture, hypnotherapy, special diets, or other mind-body practices.

Christian and Faith-Based 

You might benefit from a program with a religious focus if you are committed to religious observance. Many denominations run programs that center around the values of the faith and offer opportunities for worship.


If you have the means to pay premium prices for care, you can attend a luxury program. These addiction treatment centers offer amenities akin to high-end resorts, such as gourmet food, private rooms, fitness facilities, swimming pools, and customized personal care services.


Executive centers accommodate people who need to continue working during treatment. Computers, phones, and travel access are part of the environment.


Addiction often co-occurs with other mental health conditions such as depression, anxiety, or post-traumatic stress disorder (PTSD). If you have an underlying condition or suspect that you do, look for a dual-diagnosis program that has experience managing co-occurring disorders.

Types of Addiction Therapy Used in Alcohol and Drug Rehab

Most experts recommend using evidence-based therapy to treat addiction. Several well-documented treatment modalities can help with recovery. Drug rehab centers in Missouri may use a combination of these therapy models to offer robust care.

Cognitive Behavioral Therapy (CBT)

CBT is one-on-one talk therapy between counselor and patient. The goal of CBT is for clients to learn to recognize how their thoughts and emotions impact their behavior.

Dialectical Behavior Therapy (DBT)

DBT is also talk therapy, but the main focus is on preventing self-harm. Therapists use this method to hone in on particularly negative behaviors and identify the triggers for them.

Motivational Enhancement Therapy (MET)

MET seeks to help patients develop internal motivation to change addictive behavior. Many substance users understand that they are doing themselves harm and know that quitting is a good choice.

Contingency Management (CM)

CM therapy is a system of rewards for positive behaviors intended to build positive associations with desired behaviors. Therapists work with clients to set up a program of actions and incentives.


Group therapy treatment sessions involve more than one patient and interaction between patients. The facilitator leads cooperative discussions and exercises with the group. The sessions provide peer support and perspectives while continuing the work clients are doing individually.


Family members and family therapy play an important role in addiction treatment. Some centers will offer therapy for family members who need help dealing with living with a loved one who has an addiction.

Should You Travel for Drug and Alcohol Rehab in Missouri?

Selecting a facility is a matter of personal choice, and a lot of factors go into the decision. Here are some reasons you may want to consider attending drug rehab in Missouri:

  • You prefer the climate of Missouri or need a change of scenery
  • You want to attend a particular facility or detox center
  • You have family or friends who live in Missouri and can provide support
  • Your insurance covers treatment in Missouri


  1. Opioids Dashboard | Missouri Department of Health & Senior Services. (2020). 
  2. (n.d.). 
  3. America’s Health Rankings. (2021). Non-Medical Drug Use – Past Year In Missouri.
  4. America’s Health Rankings. (2020). Excessive Drinking In Missouri.
  5. Missouri Department of Mental Health. (2022). Services and Resources.
  6. Missouri Department of Mental Health. (2022). Locating Treatment & Services.
  7. National Institute of Mental Health. (2022). Major Depression.
  8. American Psychiatric Association. (2021). What are Anxiety Disorders?
  9. Chapman J, Jamil RT, Fleisher C. (2022). Borderline Personality Disorder. StatPearls Publishing.
  10. Revisor of Missouri. (2016). 579.015. Possession or control of a controlled substance — penalty.
  11. Missouri Sentencing Advisory Commission. (2022). Missouri Sentencing Laws.
  12. Revisor of Missouri. (2017). 579.030. Distribution of controlled substance in a protected location — penalty.
  13. 13th Judicial Circuit of Missouri. (2022). Drug Court Overview.
  14. Missouri Department of Health. (2022). Good Samaritan Brochure.
  15. MO-HOPE Project. (2022). Get Naloxone.
Medical Reviewer
Sendra Yang, PharmD, MBA
Medical Information Professional
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Sendra Yang received her Doctor of Pharmacy and Master of Business Administration degrees from Wingate University School of Pharmacy. She has experience in the pharmaceutical industry, pharmacy education, and clinical practice. She has also been a medical writer, editor, and reviewer for consumer health and medical content, including materials relating to addiction and rehabilitation.
Lesley Wirth
Lesley Wirth, MA, CCAR
Counselor, Teacher, Author
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Lesley Wirth is a certified recovery coach with a master’s in spiritual psychology. She helps women experiencing a “dark night of the soul” find their way to deep and unshakeable self-assurance, so they can stand firmly in their value and create a brighter future, regardless of what they’ve been through or how much pain they are currently in. Her work has been featured in trauma centers, r