Rehab Cost in New York: 2026 Treatment Cost Guide
New York faces one of the most severe addiction crises in the nation, recording 6,688 drug overdose deaths in 2023 — driven overwhelmingly by fentanyl, which was involved in 80% of all overdose fatalities. However, the state has seen an encouraging trajectory: preliminary 2024 data shows a dramatic 32% decline to approximately 4,567 deaths, attributed to expanded harm reduction efforts and increased treatment access.
New York also has one of the nation’s strongest treatment infrastructures. The Office of Addiction Services and Supports (OASAS) oversees more than 1,700 certified treatment programs serving over 730,000 individuals annually. Combined with Medicaid expansion and robust insurance parity laws, New York provides broader treatment access than most states. But treatment here comes at a premium — New York is among the most expensive states for addiction care. This guide breaks down what treatment costs, what insurance covers, and how to access affordable care in New York.
Rehab Costs in New York: 2026 Overview
| Treatment Type | Without Insurance | With PPO Insurance | Duration |
|---|---|---|---|
| Medical Detox | $3,000 – $12,000 | $1,200 – $5,000 | 5-14 days |
| Inpatient Rehab (Upstate/Standard) | $20,000 – $35,000 | $8,000 – $16,000 | 30 days |
| Inpatient Rehab (Suburban/Mid-Tier) | $35,000 – $50,000 | $12,000 – $22,000 | 30 days |
| Luxury Programs (Manhattan/Long Island) | $50,000 – $100,000+ | $18,000 – $40,000 | 30 days |
| Partial Hospitalization (PHP) | $6,000 – $18,000 | $2,500 – $8,000 | per month |
| Intensive Outpatient (IOP) | $5,000 – $15,000 | $2,000 – $6,000 | per month |
| Standard Outpatient | $2,000 – $8,000 | $500 – $3,000 | per month |
| Medication-Assisted Treatment | $300 – $900/month | $25 – $250/month | ongoing |
| Sober Living (New York) | $1,200 – $5,000/month | typically not covered | ongoing |
Source: National Center on Addiction and Substance Abuse; New York facility-reported data aggregated by ClearCostRecovery, 2026.
New York treatment costs are among the highest in the nation, driven by high real estate, staffing, and regulatory compliance costs. Manhattan programs command the highest premiums, while upstate New York (Catskills, Hudson Valley, Western NY) offers more affordable options — sometimes 40-50% less than downstate facilities.
New York’s Treatment Landscape
New York operates one of the most comprehensive addiction treatment systems in the country. OASAS (Office of Addiction Services and Supports) certifies and monitors over 1,700 treatment programs and directly operates 12 state-run Addiction Treatment Centers, creating a robust continuum of care from prevention through recovery support.
Distribution of Treatment Facilities by Region
New York City (Five Boroughs): The city has the highest concentration of treatment facilities in the state, with hundreds of OASAS-certified programs. Manhattan offers luxury private programs ($50,000-$100,000+) alongside publicly-funded community providers. The Bronx, Brooklyn, and Queens have extensive community-based outpatient networks. NYC’s Health + Hospitals system provides addiction services through its public hospital network.
Long Island (Nassau, Suffolk): Approximately 120 OASAS-certified programs serving suburban communities. Mix of private residential and hospital-based programs. Long Island has seen significant fentanyl-related overdose increases, driving demand for local treatment.
Hudson Valley/Westchester (Westchester, Rockland, Orange, Dutchess): Growing treatment market with approximately 100+ programs. Proximity to NYC makes this region popular for residential care — lower costs than Manhattan with easy family access. The Catskills sub-region has several well-known treatment campuses.
Capital Region/Upstate (Albany, Saratoga, Schenectady): Moderate treatment infrastructure with approximately 80 programs. More affordable than downstate, with strong community-based programming.
Western New York (Buffalo, Rochester, Syracuse): Approximately 150+ programs across the region. More affordable treatment options with strong publicly-funded infrastructure. Rochester and Buffalo have significant opioid treatment capacity.
North Country/Adirondacks: Limited treatment options in rural areas. Residents often travel to Albany, Syracuse, or Burlington (VT) for residential care. Telehealth has expanded access in these underserved areas.
Key New York Treatment Regulations
OASAS Certification: All addiction treatment programs in New York must be certified by OASAS. Requirements include rigorous staffing standards, evidence-based treatment approaches, comprehensive intake assessments, individualized treatment planning, and ongoing quality monitoring.
12 State-Operated Addiction Treatment Centers: OASAS directly operates treatment centers across the state providing residential and outpatient services. These facilities serve individuals regardless of insurance status and operate on a sliding fee scale.
Timothy’s Law (2006): New York’s landmark mental health parity law requires comprehensive coverage for mental health and substance use disorders in group health plans. This law, combined with federal parity requirements, ensures robust insurance coverage for addiction treatment.
2024 Insurance Reforms: Part AA of Chapter 57 of the Laws of 2024 updated insurance law to require carriers to reimburse OASAS-certified outpatient providers at rates at least as high as Medicaid rates, ensuring fair payment for community-based treatment programs.
Harm Reduction Framework: New York has embraced harm reduction as a core component of its addiction strategy, including supervised consumption sites (the nation’s first opened in NYC in 2021), naloxone distribution, syringe services, and fentanyl test strip legalization.
Insurance Coverage in New York
New York has one of the lowest uninsured rates in the nation at 4.9% (U.S. Census Bureau, 2023), thanks to Medicaid expansion, a robust state marketplace (NY State of Health), and strong employer coverage requirements.
Major Insurance Carriers in New York
Empire BlueCross BlueShield — Largest commercial carrier with millions of members. Extensive provider network covering most OASAS-certified facilities. Strong coverage for residential and outpatient treatment.
UnitedHealthcare/Oxford — Major employer and Medicare Advantage presence. Oxford Health Plans is widely used in the NYC metro area. Optum behavioral health manages addiction benefits.
Aetna — Strong PPO coverage with broad national network. Covers residential treatment at 70-80% after deductible. Good access to out-of-state programs.
Cigna — Significant employer plan market share. Evernorth manages behavioral health with generally good MAT coverage.
Emblem Health (GHI/HIP) — Major presence in NYC public sector and small business market. Covers addiction treatment for qualifying members.
Fidelis Care — Major Medicaid managed care and marketplace carrier. Extensive network of OASAS-certified providers across the state.
Healthfirst — Large Medicaid managed care plan, particularly in NYC. Covers all levels of addiction treatment.
What Insurance Covers in New York
Under federal and New York state law, your health insurance must cover:
- Inpatient/residential treatment (all ASAM levels)
- Medical detoxification
- Partial hospitalization (ASAM Level 2.5)
- Intensive outpatient (ASAM Level 2.1)
- Standard outpatient therapy
- Medication-assisted treatment (Suboxone, methadone, naltrexone)
- Psychiatric care for co-occurring disorders
- Family therapy and counseling
- Peer support and recovery coaching
- Harm reduction services
New York’s parity laws are among the strongest in the nation. Timothy’s Law and federal MHPAEA require addiction treatment benefits to match medical/surgical benefits in cost-sharing, visit limits, and authorization requirements.
New York Medicaid Coverage
New York expanded Medicaid under the ACA, covering adults earning up to 138% of the federal poverty level. Approximately 7.5 million New Yorkers are enrolled in Medicaid, making it a dominant payer for addiction treatment.
What Medicaid Covers:
- All OASAS-certified treatment levels
- Medical detox
- Inpatient and residential rehabilitation
- Outpatient counseling (individual and group)
- Medication-assisted treatment (all FDA-approved medications)
- Recovery support services
- Peer support and care coordination
- Harm reduction services
How to Apply: Visit nystateofhealth.ny.gov or call NY State of Health at 1-855-355-5777.
Free and Low-Cost Treatment Options in New York
OASAS-Operated Addiction Treatment Centers
New York’s 12 state-operated Addiction Treatment Centers (ATCs) provide residential and outpatient services regardless of insurance status:
These facilities are located throughout the state and provide:
- Medical detoxification
- Short-term residential rehabilitation
- Intensive outpatient programs
- Medication-assisted treatment
- Family counseling
- Vocational and educational services
- Aftercare planning
How to Access: Call the NY HOPEline at 1-877-846-7369 for 24/7 referral assistance.
Community-Based Free Programs
NYC Health + Hospitals — New York City’s public hospital system provides addiction services at 11 acute care hospitals and numerous community health centers. Services are available regardless of insurance status or ability to pay.
Salvation Army Adult Rehabilitation Centers — Free 6-12 month residential programs in New York City, Brooklyn, Syracuse, Rochester, and Buffalo. Work-therapy model with vocational training.
Odyssey House — One of the nation’s oldest therapeutic communities, providing residential and outpatient treatment on sliding scale in NYC.
Phoenix House — Multi-site residential and outpatient treatment in NYC and Long Island with sliding-scale fees.
Samaritan Village — Residential and outpatient treatment in Queens, Bronx, and upstate New York.
Federally Qualified Health Centers
New York has 60+ FQHCs offering addiction services on sliding fee scales:
- Community Healthcare Network (NYC — multiple boroughs)
- Boriken Neighborhood Health Center (East Harlem)
- Hudson River HealthCare (Hudson Valley)
- Oak Orchard Health (Western New York)
- Whitney M. Young Jr. Health Center (Albany)
Detox Costs in New York
Medical detoxification costs in New York reflect the state’s higher-than-average treatment pricing:
Alcohol Detox: $400-$1,000 per day ($2,800-$14,000 for 7-14 days). Alcohol withdrawal requires intensive 24/7 medical monitoring for seizure risk and delirium tremens. New York has extensive hospital-based detox capacity.
Opioid Detox: $300-$800 per day ($2,100-$8,000 for 7-10 days). Most New York programs use buprenorphine-assisted protocols. Given fentanyl dominance (80% of overdose deaths), extended induction protocols are increasingly standard.
Benzodiazepine Detox: $400-$1,000 per day ($5,600-$14,000+ for 14+ days). Slow taper protocols with prolonged monitoring required.
Stimulant Detox: $250-$600 per day ($1,250-$4,200 for 5-7 days). Psychiatric monitoring for depression and suicidal ideation is essential.
Xylazine-Involved Detox: New York has seen xylazine (a veterinary sedative) in 31% of opioid-involved deaths in 2023. Xylazine complicates withdrawal management, as it does not respond to naloxone and can cause severe skin wounds requiring medical care.
Most insurance covers medical detox at 80-100% under medical benefits. Medicaid covers detox with minimal or no copay.
Medication-Assisted Treatment (MAT) Costs in New York
New York has robust MAT infrastructure with strong Medicaid coverage:
Suboxone/Buprenorphine:
- Without insurance: $400-$900/month
- With insurance: $30-$250/month
- New York has 5,000+ licensed buprenorphine prescribers
Methadone:
- Without insurance: $350-$600/month
- With insurance: $50-$250/month
- New York has 100+ licensed opioid treatment programs (OTPs), with heavy concentration in NYC
Naltrexone/Vivitrol:
- Oral naltrexone: $50-$150/month without insurance, $10-$50 with insurance
- Vivitrol injection: $1,300-$1,700/month without insurance, $0-$300 with insurance
New York Medicaid covers all FDA-approved MAT medications without prior authorization, making the state a national leader in MAT access.
Choosing the Right Rehab in New York
With 1,700+ OASAS-certified programs, selecting the right one requires informed evaluation:
Verify OASAS Certification: Only use OASAS-certified providers. Search the provider directory at oasas.ny.gov or call the HOPEline at 1-877-846-7369.
Accreditation: Look for Joint Commission, CARF, or COA accreditation beyond state certification for additional quality assurance.
Evidence-Based Practices: Quality programs offer CBT, DBT, motivational interviewing, trauma-informed care, and integrated treatment for co-occurring mental health disorders.
Location Considerations: Upstate and suburban programs offer lower costs and peaceful settings, while NYC programs provide cultural diversity and proximity to family. Consider what environment best supports your recovery.
Insurance Verification: Request written benefits verification before admission showing deductible status, coinsurance rates, and out-of-pocket maximum.
New York Addiction Crisis by the Numbers
Overdose Trends:
- 2019: 4,152 deaths (pre-COVID baseline)
- 2021: 6,325 deaths (COVID-era surge)
- 2023: 6,688 deaths (fentanyl dominance at 80%)
- 2024: ~4,567 deaths (32% decline — expanded harm reduction credited)
NYC Specific Data:
- 2023: 3,056 overdose deaths (45% of state total)
- 2024: 2,192 overdose deaths (28% decline)
- Fentanyl involvement declined from 80% to 73% between 2023-2024
- Xylazine present in 21% of 2024 overdose deaths (down from 31% in 2023)
Substances of Concern:
- Fentanyl/synthetic opioids: 80% of overdose deaths (2023)
- Xylazine: 31% of opioid-involved deaths (complicating treatment)
- Cocaine: Significant presence, often combined with fentanyl
- Heroin: Declining as fentanyl has largely replaced it
- Alcohol: Remains most common substance use disorder overall
New York Addiction Resources
Crisis Hotlines:
- NY HOPEline: 1-877-846-7369 (24/7, OASAS-operated)
- SAMHSA National Helpline: 1-800-662-4357
- 988 Suicide & Crisis Lifeline: 988
- NYC Well: 1-888-692-9355 (NYC residents)
- Crisis Text Line: Text HOME to 741741
State Agencies:
- NYS OASAS: oasas.ny.gov
- NYS Department of Health: health.ny.gov
- NY State of Health (Insurance Marketplace): nystateofhealth.ny.gov
Recovery Support:
- AA New York: Numerous intergroups with 5,000+ meetings statewide
- NA New York: Regional service committees across the state
- SMART Recovery: Multiple New York locations
- Friends of Recovery-New York (FOR-NY): Statewide recovery advocacy organization
Sources
- New York State Department of Health, Opioid-Related Data, 2023.
- Governor Hochul Press Release, NYS Overdose Deaths Decline, 2024.
- NYC Department of Health and Mental Hygiene, Unintentional Drug Poisoning Deaths, 2024.
- NYS Office of Addiction Services and Supports (OASAS), 2026.
- U.S. Census Bureau, American Community Survey, 2023.
- National Center on Addiction and Substance Abuse, 2025.
- NYS Office of the Comptroller, Drug Overdose Deaths Report, 2024.
You May Qualify for Coverage That Pays for treatment in New York
Under the Affordable Care Act, all marketplace health insurance plans must cover addiction treatment as an essential health benefit. Monthly premiums for a PPO plan that covers rehab typically range from $350 to $700 — a fraction of the cost of paying out of pocket.
A licensed insurance specialist can help you find the right plan, check for qualifying life events, and get covered — often within days.
Talk to an Insurance Specialist — Free & ConfidentialNew York Crisis Resources
NY HOPEline: 1-877-846-7369
New York State Office of Addiction Services and Supports (OASAS): https://oasas.ny.gov/
SAMHSA National Helpline: 1-800-662-4357
Frequently Asked Questions
How much does rehab cost in New York?
Rehab in New York costs between $20,000 and $60,000 for a 30-day inpatient program without insurance, with the average total cost for substance abuse treatment at approximately $56,653. With PPO insurance, out-of-pocket costs typically range from $8,000 to $22,000. New York is one of the most expensive states for addiction treatment due to high staffing costs, real estate prices, and regulatory requirements. Manhattan and Long Island programs are the costliest, while upstate facilities offer more affordable options.
How much does a full rehab program cost in New York?
A complete treatment episode in New York including all phases costs $30,000-$90,000 without insurance. This typically includes medical detox ($3,000-$12,000 for 5-14 days), inpatient rehab ($20,000-$60,000 for 30 days), intensive outpatient ($5,000-$15,000 for 8-12 weeks), and standard outpatient therapy ($2,000-$8,000 for 3-6 months). With insurance, out-of-pocket costs range from $8,000-$25,000 for the complete continuum. Opioid addiction treatment costs approximately 20% more due to medication-assisted therapy components.
Does insurance cover drug rehab in New York?
Yes. All health insurance plans sold in New York must cover substance use disorder treatment as an essential health benefit. New York has some of the strongest insurance coverage laws in the nation — Timothy's Law (2006) requires comprehensive mental health and substance abuse parity for group plans, and the state expanded these protections further in 2024 by requiring insurers to reimburse OASAS-certified outpatient providers at rates at least as high as Medicaid rates. The Mental Health Parity and Addiction Equity Act provides additional federal protections.
Does New York Medicaid cover drug rehab?
Yes. New York expanded Medicaid under the ACA, providing coverage to adults earning up to 138% of the federal poverty level. New York Medicaid covers all levels of addiction treatment including inpatient rehabilitation, outpatient counseling, medical detox, medication-assisted treatment, and recovery support services. The state's Medicaid managed care plans contract with OASAS-certified providers throughout the state. Approximately 7.5 million New Yorkers are enrolled in Medicaid, making it a significant payer for addiction treatment services.
How much is inpatient rehab in New York?
Inpatient rehab in New York ranges from $20,000 to $60,000+ for 30 days without insurance. Programs in Manhattan and Long Island charge $35,000-$80,000+ for luxury options. Mid-tier programs in Westchester, the Hudson Valley, and suburban areas run $25,000-$45,000. Upstate programs in the Catskills, Adirondacks, and Western New York are more affordable at $20,000-$35,000. With insurance, out-of-pocket costs depend on your deductible and coinsurance, typically $8,000-$22,000 for 30 days.
Are there free rehabs in New York?
Yes, New York has extensive free and low-cost rehab options. OASAS directly operates 12 Addiction Treatment Centers across the state providing free or low-cost residential and outpatient care. New York Medicaid covers addiction treatment with no or minimal copays for qualifying individuals. The state also funds numerous community-based programs through OASAS grants. Faith-based options include Salvation Army Adult Rehabilitation Centers in NYC, Brooklyn, Syracuse, Rochester, and Buffalo. OASAS's HOPEline (1-877-846-7369) connects callers to free and low-cost treatment options 24/7.
How long is inpatient rehab in New York?
Most people in New York inpatient rehab stay for 28-30 days, which is the standard program length covered by most insurance plans. However, OASAS guidelines recommend treatment duration based on individual clinical needs, and many New York programs offer extended care of 60-90 days for better outcomes. Long-term residential programs (6-12 months) are available through OASAS-certified therapeutic communities and faith-based organizations. Insurance typically authorizes 28-30 days initially with continued stay reviews for possible extensions.
How much does outpatient rehab cost in New York?
Outpatient rehab in New York averages $8,307 for a standard program without insurance. Intensive outpatient programs (IOP) run $5,000-$15,000 for a standard 8-12 week course. Standard outpatient therapy costs $2,000-$8,000 per month. Methadone treatment averages $7,381 annually. With insurance, out-of-pocket costs drop significantly. New York's 2024 insurance law requires carriers to reimburse OASAS-certified outpatient providers at rates at least equal to Medicaid rates, improving access.
What is OASAS and how does it help with rehab in New York?
OASAS (Office of Addiction Services and Supports) is New York State's agency overseeing all addiction treatment, prevention, and recovery services. OASAS certifies and monitors over 1,700 treatment programs statewide, directly operates 12 Addiction Treatment Centers, and funds community-based prevention and recovery services. OASAS serves over 730,000 individuals annually. To access services, call the NY HOPEline at 1-877-846-7369 or visit oasas.ny.gov/treatment to find certified providers in your area.
How much does alcohol rehab cost in New York?
Alcohol rehab in New York costs $20,000-$60,000 for 30 days of inpatient treatment without insurance. Alcohol detox adds $3,000-$12,000 (5-14 days) due to medical complexity and seizure risk requiring 24/7 physician oversight — alcohol treatment costs average 15% more than baseline due to extended detox. With insurance, out-of-pocket costs are typically $8,000-$22,000 for inpatient including detox. Outpatient alcohol programs cost $2,000-$8,000 per month without insurance. Many New York programs offer FDA-approved medications for alcohol use disorder (naltrexone, Antabuse, Campral).
How much does detox cost in New York?
Medical detox in New York costs $300-$1,000 per day depending on substance and facility. Alcohol detox runs $400-$1,000/day ($2,800-$14,000 for 7-14 days). Opioid detox costs $300-$800/day ($2,100-$8,000 for 7-10 days). Benzodiazepine detox is $400-$1,000/day ($5,600-$14,000+ for 14+ days). Most insurance covers medical detox at 80-100% under medical benefits. OASAS-operated facilities provide detox at no cost for qualifying individuals.
Does New York have good rehab programs?
New York has one of the most comprehensive addiction treatment systems in the country. The state's 1,700+ OASAS-certified programs include nationally recognized facilities like Hazelden Betty Ford (Manhattan), Caron Treatment Centers (Manhattan outpatient), Phoenix House, and Odyssey House. New York's regulatory framework through OASAS is among the most robust in the nation, with mandatory certification, regular inspections, and evidence-based treatment standards. The state's Medicaid expansion and strong insurance parity laws also ensure broader access than many other states.
What is the overdose crisis like in New York?
New York recorded 6,688 overdose deaths in 2023, with fentanyl involved in 80% of those deaths. However, preliminary 2024 data shows a significant 32% decline to approximately 4,567 deaths — one of the steepest decreases in the nation. New York City alone saw overdose deaths drop from 3,056 in 2023 to 2,192 in 2024 (28% decline). Xylazine, a veterinary sedative, was found in 31% of opioid-involved deaths in 2023. The state attributes the decline to expanded harm reduction efforts, naloxone distribution, and increased treatment access.