Rehab Cost in Ohio: 2026 Treatment Cost Guide
Ohio has been at the epicenter of the nation’s opioid crisis for over a decade. In 2023, the state recorded 4,452 unintentional drug overdose deaths, with fentanyl involved in 78% and opioids overall in 95% of opioid-related fatalities. Ohio’s overdose death rate of 38.0 per 100,000 residents significantly exceeds the national average — making it one of the hardest-hit states in the country.
But there is encouraging progress. Overdose deaths dropped 9% from 2022 to 2023, and preliminary 2024 data suggests a further 25-35% decline — potentially the lowest fentanyl-related death count in Ohio since 2016. Much of this improvement is attributed to expanded treatment access, particularly through Medicaid expansion, which brought $1.6 billion in federal behavioral health funding in 2024 alone. This guide breaks down what treatment costs in Ohio, how insurance — especially Medicaid — covers care, and how to access affordable treatment.
Rehab Costs in Ohio: 2026 Overview
| Treatment Type | Without Insurance | With PPO Insurance | Duration |
|---|---|---|---|
| Medical Detox | $2,000 – $8,000 | $800 – $3,500 | 5-14 days |
| Inpatient Rehab (Standard) | $15,000 – $25,000 | $5,000 – $12,000 | 30 days |
| Inpatient Rehab (Mid-Tier) | $25,000 – $40,000 | $10,000 – $18,000 | 30 days |
| Luxury/Executive Programs | $40,000 – $80,000+ | $15,000 – $30,000 | 30 days |
| Partial Hospitalization (PHP) | $4,000 – $14,000 | $1,500 – $6,000 | per month |
| Intensive Outpatient (IOP) | $3,000 – $10,000 | $1,200 – $4,000 | per month |
| Standard Outpatient | $1,500 – $5,000 | $400 – $2,000 | per month |
| Medication-Assisted Treatment | $200 – $800/month | $20 – $200/month | ongoing |
| Sober Living (Ohio) | $500 – $2,500/month | typically not covered | ongoing |
Source: National Center on Addiction and Substance Abuse; Ohio facility-reported data aggregated by ClearCostRecovery, 2026.
Ohio treatment costs are moderate compared to coastal states, with prices generally 20-30% below New York and California. The state’s three major metros (Cleveland, Columbus, Cincinnati) have the highest costs, while mid-size cities and rural areas offer more budget-friendly options. Medicaid expansion has dramatically improved access for low-income Ohioans.
Ohio’s Treatment Landscape
Ohio operates an extensive addiction treatment system overseen by the Ohio Department of Mental Health and Addiction Services (OhioMHAS). Approximately 650 OhioMHAS-certified facilities provide treatment across the state, supported by a network of 50 county Alcohol, Drug Addiction, and Mental Health (ADAMH) boards that coordinate local services.
Distribution of Treatment Facilities by Region
Cleveland Metro (Cuyahoga, Lake, Lorain, Summit): Approximately 140 facilities serving Northeast Ohio. Strong hospital-based programs through Cleveland Clinic and University Hospitals. Mix of academic medical programs and community providers. Cuyahoga County has been a national leader in overdose response.
Columbus Metro (Franklin, Delaware, Licking): Approximately 120 facilities serving Central Ohio. Growing treatment market with Ohio State University medical system and multiple community-based providers. RecoveryOhio headquarters.
Cincinnati Metro (Hamilton, Butler, Warren, Clermont): Approximately 100 facilities serving Southwest Ohio. Strong treatment infrastructure built in response to early and severe fentanyl crisis. UC Health and TriHealth provide hospital-based addiction programs.
Dayton/Springfield (Montgomery, Clark, Greene): Approximately 60 facilities. One of the earliest and hardest-hit regions in the opioid crisis. Strong publicly-funded treatment infrastructure built through crisis response.
Akron/Canton (Summit, Stark): Approximately 50 facilities. Significant MAT capacity built during the opioid crisis with community health center involvement.
Toledo/Northwest Ohio (Lucas, Wood): Approximately 40 facilities. Growing treatment market with both hospital-based and community programs.
Appalachian Ohio (Southeast counties): Limited treatment infrastructure in rural areas. Residents often travel to Columbus, Cincinnati, or regional cities for residential care. Telehealth and mobile MAT units have expanded access.
Key Ohio Treatment Regulations
OhioMHAS Certification: All addiction treatment facilities must be certified by OhioMHAS to receive public funding or bill Medicaid. Certification requirements include staffing standards, evidence-based practices, quality monitoring, and patient rights protections.
ADAMH Board System: Ohio’s 50 county ADAMH boards serve as the local backbone of publicly-funded behavioral health services. Each board:
- Levies local property taxes for behavioral health funding
- Contracts with community-based treatment providers
- Coordinates care for uninsured and underinsured individuals
- Provides crisis intervention services
- Administers prevention programs
RecoveryOhio: Governor’s initiative launched to coordinate statewide addiction response, bringing together treatment, prevention, law enforcement, and recovery support efforts across agencies.
Mental Health Parity: Ohio Department of Insurance enforces federal parity requirements ensuring addiction treatment coverage matches medical/surgical benefits.
Insurance Coverage in Ohio
Ohio has an uninsured rate of approximately 7.0% (U.S. Census Bureau, 2022), significantly improved from 14% before Medicaid expansion in 2014. The state’s strong employer insurance market and Medicaid coverage provide broad access to addiction treatment.
Major Insurance Carriers in Ohio
Medical Mutual of Ohio — Largest Ohio-based carrier with extensive statewide network. Strong coverage for residential and outpatient addiction treatment.
Anthem Blue Cross Blue Shield — Major carrier with large employer and individual market presence. Covers addiction treatment through behavioral health network.
UnitedHealthcare — Significant employer and Medicare Advantage presence. Optum manages behavioral health benefits.
CareSource — Major Medicaid managed care plan. Serves a large portion of Ohio’s Medicaid expansion population with comprehensive behavioral health coverage.
Molina Healthcare — Medicaid managed care and marketplace carrier. Covers all levels of addiction treatment for qualifying members.
Humana — Medicare Advantage and employer plan presence. Covers addiction treatment for qualifying beneficiaries.
Aetna — Strong PPO coverage with national network. Covers residential treatment at 70-80% after deductible.
What Insurance Covers in Ohio
Under federal and Ohio 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 recovery support services
Ohio Medicaid: A National Model
Ohio’s Medicaid expansion has been transformative for addiction treatment access. Key facts:
- 630,000 Medicaid expansion enrollees received mental health or substance use disorder treatment in 2024
- 40% of expansion enrollees had a primary behavioral health diagnosis
- $1.6 billion in federal funds flowed to Ohio in 2024 for behavioral health services
- Before expansion, county ADAMH boards were the only source of publicly-funded treatment — and couldn’t keep up with demand
- Expansion halved Ohio’s uninsured rate from 14% to 7%
What Medicaid Covers:
- All OhioMHAS-certified treatment levels
- Medical detox with minimal or no copay
- Residential rehabilitation
- Outpatient counseling
- All FDA-approved MAT medications
- Peer recovery support
- Case management
How to Apply: Visit benefits.ohio.gov or call 1-844-640-6446.
Free and Low-Cost Treatment Options in Ohio
County ADAMH Boards
Ohio’s 50 ADAMH boards coordinate publicly-funded treatment across all 88 counties:
- Free or reduced-cost assessment and referral
- State and locally-funded outpatient and residential treatment
- Crisis intervention services
- Medication-assisted treatment
- Recovery support services
How to Access: Contact your county ADAMH board directly. Find your local board at mha.ohio.gov.
Faith-Based and Nonprofit Programs
Salvation Army Adult Rehabilitation Centers — Free 6-12 month residential programs in Cleveland, Columbus, Cincinnati, Akron, and Canton. Work-therapy model with vocational training.
Teen Challenge Ohio — Faith-based long-term residential care (12-15 months) at minimal cost. Multiple Ohio locations.
Volunteers of America Ohio — Nonprofit providing residential and outpatient treatment with financial assistance available.
Ohio Addiction Recovery Center — Published self-pay rates with financial assistance and payment plans available.
Community Health Centers
Ohio has 40+ FQHCs offering addiction services on sliding fee scales:
- AxessPointe Community Health Center (Akron)
- Neighborhood Health Association (Toledo)
- PrimaryOne Health (Columbus)
- Neighborhood Health Centers (Cincinnati)
- Care Alliance Health Center (Cleveland)
Detox Costs in Ohio
Alcohol Detox: $500-$1,200 per day ($3,500-$16,800 for 7-14 days). Alcohol withdrawal is medically dangerous, requiring 24/7 monitoring for seizures and delirium tremens.
Opioid Detox: $500-$1,000 per day ($3,500-$10,000 for 7-10 days). With fentanyl dominance (78% of overdose deaths), extended buprenorphine induction protocols are standard. Many programs transition patients to ongoing MAT.
Benzodiazepine Detox: $500-$1,200 per day ($7,000-$16,800+ for 14+ days). Slow taper protocols required with prolonged monitoring.
Stimulant Detox: $300-$700 per day ($1,500-$4,900 for 5-7 days). Psychiatric monitoring for depression essential during withdrawal.
Most insurance covers medical detox at 80-100%. Medicaid covers detox with minimal or no copay. ADAMH boards coordinate state-funded detox for uninsured individuals.
Medication-Assisted Treatment (MAT) Costs in Ohio
Ohio has significantly expanded MAT capacity in response to the opioid crisis:
Suboxone/Buprenorphine:
- Without insurance: $300-$750/month
- With insurance: $25-$200/month
- Ohio has 3,000+ licensed buprenorphine prescribers
Methadone:
- Without insurance: $250-$500/month
- With insurance: $50-$200/month
- Approximately 55 licensed opioid treatment programs (OTPs)
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
Ohio Medicaid covers all FDA-approved MAT medications without prior authorization, making the state a leader in MAT accessibility.
Choosing the Right Rehab in Ohio
With approximately 650 certified facilities, careful selection matters:
Verify OhioMHAS Certification: Only use OhioMHAS-certified providers. Search the provider directory at mha.ohio.gov.
Accreditation: Look for Joint Commission, CARF, or COA accreditation beyond state certification.
Evidence-Based Practices: Quality programs offer CBT, DBT, motivational interviewing, trauma-informed care, and MAT when clinically appropriate.
Contact Your ADAMH Board: Your local ADAMH board can help navigate treatment options, verify insurance, and connect you with appropriate providers.
Insurance Verification: Request written benefits verification before admission showing deductible, coinsurance, and out-of-pocket maximum.
Ohio Addiction Crisis by the Numbers
Overdose Trends:
- 2017: 5,111 deaths (historic peak)
- 2020: 5,017 deaths (COVID surge)
- 2022: 4,915 deaths
- 2023: 4,452 deaths (9% decline, fentanyl at 78%)
- 2024: Preliminary 25-35% further decline (~1,400 fewer deaths)
Substances of Concern:
- Fentanyl/synthetic opioids: 78% of overdose deaths (95% of opioid deaths)
- Cocaine: Increasing, +7% in 2023 (often mixed with fentanyl)
- Benzodiazepines: Increasing, +4% in 2023
- Methamphetamine: Rising in rural communities
- Heroin: Declining (-17% in 2023) as fentanyl dominates
- Alcohol: Most common substance use disorder statewide
Ohio Addiction Resources
Crisis Hotlines:
- Ohio Crisis Text Line: Text 4HOPE to 741741
- SAMHSA National Helpline: 1-800-662-4357
- 988 Suicide & Crisis Lifeline: 988
- Crisis Text Line: Text HOME to 741741
State Agencies:
- OhioMHAS: mha.ohio.gov
- Ohio Department of Health: odh.ohio.gov
- RecoveryOhio: recoveryohio.gov
Recovery Support:
- AA Ohio: Multiple area committees with thousands of meetings
- NA Ohio: Active chapters statewide
- SMART Recovery: Multiple Ohio locations
- Ohio Citizen Advocates for Addiction Recovery (OCAAR)
Sources
- Ohio Department of Health, Unintentional Drug Overdose Report, 2023.
- CDC WONDER, National Vital Statistics, 2023.
- SAMHSA Treatment Locator, Ohio, 2026.
- U.S. Census Bureau, American Community Survey, 2022.
- Health Policy Institute of Ohio, Medicaid Expansion Study, 2025.
- National Center on Addiction and Substance Abuse, 2025.
- Harm Reduction Ohio, Overdose Death Decline Analysis, 2024.
You May Qualify for Coverage That Pays for treatment in Ohio
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 & ConfidentialOhio Crisis Resources
Ohio Crisis Text Line: Text 4HOPE to 741741
Ohio Department of Mental Health and Addiction Services (OhioMHAS): https://mha.ohio.gov/
SAMHSA National Helpline: 1-800-662-4357
Frequently Asked Questions
How much does rehab cost in Ohio?
Rehab in Ohio costs between $15,000 and $50,000 for a 30-day inpatient program without insurance, with residential treatment averaging $628 per day or approximately $56,688 for a 13-week stay. With PPO insurance, out-of-pocket costs typically range from $5,000 to $18,000. Ohio is moderately priced for addiction treatment compared to coastal states, with approximately 650 licensed facilities providing competitive pricing. Cleveland, Columbus, and Cincinnati programs are pricier, while rural and mid-size city programs offer more affordable options.
How much does a full rehab program cost in Ohio?
A complete treatment episode in Ohio including all phases costs $20,000-$65,000 without insurance. This typically includes medical detox ($2,000-$8,000 for 5-14 days), inpatient rehab ($15,000-$50,000 for 30 days), intensive outpatient ($3,000-$10,000 for 8-12 weeks), and standard outpatient therapy ($1,500-$5,000 for 3-6 months). With insurance — particularly Ohio Medicaid, which covers 40% of expansion enrollees with behavioral health diagnoses — out-of-pocket costs can be minimal to $15,000.
Does insurance cover drug rehab in Ohio?
Yes. All health insurance plans sold in Ohio must cover substance use disorder treatment as an essential health benefit under the ACA. Ohio's Department of Insurance enforces the Mental Health Parity and Addiction Equity Act, requiring insurers to cover addiction treatment at the same level as medical/surgical benefits. Ohio Medicaid expansion has been transformative — in 2024, Medicaid brought in more than $1.6 billion in federal funds for behavioral health services including outpatient counseling, psychiatric services, and residential treatment.
Does Ohio Medicaid cover drug rehab?
Yes. Ohio expanded Medicaid under the ACA in 2014, covering adults earning up to 138% of the federal poverty level. In 2024, 40% of Medicaid expansion enrollees (approximately 630,000 people) had a primary mental health or substance use disorder diagnosis and received treatment. Ohio Medicaid covers all levels of addiction treatment including inpatient rehab, outpatient counseling, medical detox, medication-assisted treatment, and recovery support services — with minimal or no copays for qualifying individuals.
How much is inpatient rehab in Ohio?
Inpatient rehab in Ohio ranges from $15,000 to $50,000 for 30 days without insurance, or $1,000-$7,000 per week depending on the facility. Medical detox can add $500-$1,500 per day. Programs in Cleveland, Columbus, and Cincinnati charge $25,000-$50,000 for mid-tier to luxury options. Standard programs in Dayton, Akron, Toledo, and smaller cities cost $15,000-$30,000. With insurance, out-of-pocket costs depend on deductible and coinsurance, typically $5,000-$18,000.
Are there free rehabs in Ohio?
Yes, Ohio has multiple free and low-cost options. Five facilities in Ohio offer completely free treatment for all patients. Ohio Medicaid covers treatment with minimal copays for qualifying low-income adults (up to 138% FPL). County Alcohol, Drug Addiction, and Mental Health (ADAMH) boards provide publicly-funded treatment in all 88 counties. Salvation Army Adult Rehabilitation Centers offer free 6-12 month residential programs in Cleveland, Columbus, Cincinnati, and other cities. Many OhioMHAS-certified providers offer sliding-scale fees.
How long is inpatient rehab in Ohio?
Standard inpatient rehab in Ohio lasts 28-30 days, which is the most common program length covered by insurance. Extended programs of 60-90 days are available and recommended by ASAM guidelines for better outcomes. Long-term residential programs (6-12 months) are offered through therapeutic communities and faith-based organizations. Insurance typically authorizes 28-30 days initially with continued stay reviews every 7-14 days for possible extensions based on medical necessity.
What is OhioMHAS and how does it help?
OhioMHAS (Ohio Department of Mental Health and Addiction Services) is the state agency overseeing mental health and addiction services. OhioMHAS certifies and monitors community-based treatment providers, distributes state and federal funding through county ADAMH boards, operates state psychiatric hospitals, and coordinates the RecoveryOhio initiative. OhioMHAS certification is required for facilities to receive public funding and bill Medicaid for addiction treatment services.
How bad is Ohio's overdose crisis?
Ohio has been one of the hardest-hit states in the opioid epidemic, with an overdose death rate of 38.0 per 100,000 — well above the national average. In 2023, 4,452 Ohioans died from unintentional drug overdoses, with fentanyl involved in 78% and opioids overall in 95% of opioid-related deaths. However, Ohio has seen significant improvement: overdose deaths dropped 9% from 2022 to 2023, and preliminary 2024 data suggests a further 25-35% decline — potentially the lowest fentanyl-related death count since 2016.
How much does outpatient rehab cost in Ohio?
Outpatient rehab in Ohio costs approximately $68 per day or $2,000-$10,000 for a full treatment course without insurance. Intensive outpatient programs (IOP) run $3,000-$10,000 for 8-12 weeks. Standard outpatient therapy costs $1,500-$5,000 per month. With insurance, out-of-pocket costs drop to $400-$2,000 per month. Ohio Medicaid covers outpatient treatment with minimal or no copays, making it highly accessible for low-income residents.
How much does alcohol rehab cost in Ohio?
Alcohol rehab in Ohio costs $15,000-$50,000 for 30 days of inpatient treatment without insurance. Alcohol detox adds $2,000-$8,000 (5-14 days) due to seizure risk requiring 24/7 medical monitoring. With insurance, out-of-pocket costs are typically $5,000-$18,000 for inpatient including detox. Outpatient alcohol programs cost $1,500-$5,000 per month without insurance. Many Ohio programs offer FDA-approved medications for alcohol use disorder (naltrexone, Antabuse, Campral).
How much does detox cost in Ohio?
Medical detox in Ohio costs $500-$1,500 per day depending on substance and facility complexity. Alcohol detox runs $500-$1,200/day ($3,500-$16,800 for 7-14 days). Opioid detox costs $500-$1,000/day ($3,500-$10,000 for 7-10 days). Most insurance covers medical detox at 80-100% under medical benefits. Ohio Medicaid covers detox with minimal or no copay. County ADAMH boards can coordinate state-funded detox for uninsured individuals.
Is Ohio's overdose crisis getting better?
Yes, Ohio is seeing significant improvement. Overdose deaths dropped 9% from 2022 to 2023 (4,452 deaths), and preliminary 2024 data suggests a dramatic further decline of 25-35% — approximately 1,400 fewer deaths annually. This would represent the lowest fentanyl-related death count since 2016. Experts attribute the decline to expanded naloxone distribution, increased treatment access through Medicaid expansion, growth in medication-assisted treatment, and harm reduction initiatives. However, cocaine and benzodiazepine-related deaths increased in 2023.