Addiction treatment in Kentucky that takes self-pay (cash)

Cima Find Care lists 207 addiction treatment programs in Kentucky that accept self-pay (cash), at 411 locations, out of 402 statewide. That comes from FindTreatment.gov's record, so confirm with the program and your plan before you go.

From SAMHSA's FindTreatment.gov, the NPI registry and program websites, as of 2026-10-28. Not medical advice; call the program to check openings and cost.

The 25 with the fullest records, of 207 addiction treatment programs that take self-pay (cash)

Program	Where	Levels of care	Pays	Phone
Addiction Recovery Care (ARC) 3 locations	3439 Buckhorn Drive, Suite 160, Lexington 40515	Detox, Residential, PHP, IOP, Outpatient, MAT	Medicaid · Private insurance	Call (859) 838-3390 Website
Addiction Recovery Centers (ARC)	1000 Saint Christopher Drive, Ashland 41101	Detox, Residential, PHP, IOP, Outpatient, MAT	Medicaid · Private insurance	Call (606) 254-8943 Website
Altruism Counseling Services	2339 Sandersville Road, Suites 508-510, Lexington 40511	Residential, IOP, Outpatient, MAT	Medicaid · Aetna, Anthem Blue Cross and Blue Shield, Medicare +1 more	Call (859) 310-6505 Website
ARC Addiction Recovery Care	74 Sienna Drive, Suite D, St. Catharine 40061	Detox, Residential, PHP, IOP, Outpatient, MAT	Medicaid · Private insurance	Call (606) 368-0938 Website
Astra Behavioral Health 5 locations	1013 Granite Drive, Bardstown 40004	PHP, IOP, Outpatient, MAT	Medicaid · Cigna, Humana, Medicare; sliding-scale fee	Call (502) 349-3100 Website
Astra Recovery Centers LLC	202 Downs Lane, Bardstown 40004	Detox, Residential, PHP, IOP, Outpatient, MAT	Medicaid · Humana, TRICARE	Call (502) 849-9040 Website
Baptist Health Trillium Center	1 Trillium Way, Corbin 40701	Residential, PHP, Outpatient	Medicaid · Medicare; sliding-scale fee	Call (606) 526-4406 Website
BHG Elizabethtown Treatment Center	2645 Leitchfield Road, Suite 104, Elizabethtown 42701	Detox, IOP, Outpatient, MAT	Medicaid · Aetna, Ambetter, Anthem Blue Cross and Blue Shield +9 more	Call (270) 234-8180 Website
BHG Hazard Treatment Center	118 Grand Vue Plaza, Suite 118, Hazard 41701	IOP, Outpatient, MAT	Medicaid · Aetna, Ambetter, Anthem Blue Cross and Blue Shield +9 more	Call (606) 487-1646 Website
BHG Lexington Treatment Center	455 Park Place, Suite 130, Lexington 40511	IOP, Outpatient, MAT	Medicaid · Aetna, Ambetter, Anthem Blue Cross and Blue Shield +9 more	Call (859) 276-0533 Website
BHG Pikeville Treatment Center	255 Church Street, Pikeville 41501	Detox, IOP, Outpatient, MAT	Medicaid · Aetna, Ambetter, Anthem Blue Cross and Blue Shield +9 more	Call (606) 437-0047 Website
BrightView Health 10 locations	830 West Broadway, Campbellsville 42718	Detox, PHP, Outpatient, MAT	Medicaid · Aetna, Anthem Blue Cross and Blue Shield, Humana +4 more	Call (844) 707-7775 Website
CommonHealth Recovery	1121 Louisville Road, Suite 501, Frankfort 40601	Detox, IOP, Outpatient, MAT	Medicaid · Aetna, Humana, Medicare +4 more	Call (502) 661-1444 Website
Commonwealth Counseling Centers 2 locations	156 North Lake Drive, Prestonsburg 41653	Detox, IOP, Outpatient, MAT	Medicaid · Private insurance; sliding-scale fee	Call (606) 506-5077 Website
DeNova	1301 Winchester Road, Suite 147, Lexington 40505	Detox, IOP, Outpatient, MAT	Medicaid · Medicare	Call (859) 309-2814 Website
Foothills Healthcare Inc 2 locations	80 Rolling Hills Boulevard, Monticello 42633	Residential, IOP, Outpatient, MAT	Medicaid · Private insurance; sliding-scale fee	Call (606) 343-0216 Website
Isaiah House 6 locations	2084 Main Street, Willisburg 40078	Residential, PHP, IOP, Outpatient, MAT	Medicaid · Aetna, Cigna, Humana +1 more	Call (859) 375-9200 Website
JourneyPure 2 locations	2349 Russellville Road, Bowling Green 42101	Detox, Residential, PHP, IOP, Outpatient, MAT	Medicaid · Anthem Blue Cross and Blue Shield	Call (270) 781-3387 Website
Lexington Addiction Center	351 Burley Avenue, Lexington 40503	Detox, Residential, PHP, IOP, Outpatient, MAT	Medicaid · Aetna, Anthem Blue Cross and Blue Shield, Cigna +2 more	Call (859) 681-7643 Website
Louisville Recovery Center	1831 Williamson Court, Louisville 40223	Detox, Residential, PHP, IOP, Outpatient, MAT	Medicaid · Anthem Blue Cross and Blue Shield, Carelon Behavioral Health, Optum +2 more	Call (706) 951-4649 Website
Lumera Healthcare LLC 3 locations	111 Poplar Street, Suite 104, Murray 42071	Detox, Residential, IOP, Outpatient, MAT	Medicaid · Aetna, Ambetter, Cigna +3 more; sliding-scale fee	Call (270) 534-5128 Website
Neartown Inc	1250 Old Soldier Creek Road, Kirksey 42054	Detox, Residential, PHP, IOP, Outpatient, MAT	Medicaid · Aetna, Ambetter, Anthem Blue Cross and Blue Shield +7 more; sliding-scale fee	Call (270) 489-2594 Website
New Season Lexington	1098 East New Circle Road, Lexington 40505	Detox, Residential, PHP, IOP, Outpatient, MAT	Medicaid · Medicare	Call (859) 721-6810 Website
NorthKey Community Care 8 locations	502 Farrell Drive, Covington 41011	IOP, Outpatient, MAT	Medicaid · Medicare; sliding-scale fee	Call (859) 578-3200 Website
Ramey Estep Homes	2901 Pigeon Roost Road, Rush 41168	Residential, PHP, IOP, Outpatient, MAT	Medicaid · Medicare; sliding-scale fee	Call (606) 928-6648 Website

Programs with the fullest public record come first. Levels of care and insurance are as listed on FindTreatment.gov or the program's own website.

By city

City	Programs	Page
Louisville	32	Addiction treatment in Louisville that takes self-pay (cash)
Lexington	31	Addiction treatment in Lexington that takes self-pay (cash)
Bowling Green	14	Addiction treatment in Bowling Green that takes self-pay (cash)
Ashland	11	Addiction treatment in Ashland that takes self-pay (cash)
London	11	Addiction treatment in London that takes self-pay (cash)
Elizabethtown	10	Addiction treatment in Elizabethtown that takes self-pay (cash)
Owensboro	9	Addiction treatment in Owensboro that takes self-pay (cash)
Paducah	8	Addiction treatment in Paducah that takes self-pay (cash)
Covington	7	Every treatment program in Covington
Pikeville	7	Addiction treatment in Pikeville that takes self-pay (cash)
Somerset	7	Addiction treatment in Somerset that takes self-pay (cash)
Frankfort	6	Addiction treatment in Frankfort that takes self-pay (cash)
Hazard	6	Every treatment program in Hazard
Prestonsburg	6	Addiction treatment in Prestonsburg that takes self-pay (cash)
Corbin	5	Every treatment program in Corbin
Danville	5	Every treatment program in Danville
Henderson	5	Every treatment program in Henderson
Morehead	5	Addiction treatment in Morehead that takes self-pay (cash)
Winchester	5	Every treatment program in Winchester
Fort Mitchell	4	Every treatment program in Fort Mitchell
Georgetown	4	Every treatment program in Georgetown
Glasgow	4	Every treatment program in Glasgow
Hopkinsville	4	Every treatment program in Hopkinsville
Louisa	4	Every treatment program in Louisa
Maysville	4	Every treatment program in Maysville
Murray	4	Every treatment program in Murray
Nicholasville	4	Every treatment program in Nicholasville
Olive Hill	4	Every treatment program in Olive Hill
Paris	4	Every treatment program in Paris
Radcliff	4	Every treatment program in Radcliff
Williamsburg	4	Every treatment program in Williamsburg
Barbourville	3	Every treatment program in Barbourville
Bardstown	3	Every treatment program in Bardstown
Campbellsville	3	Every treatment program in Campbellsville
Carrollton	3	Every treatment program in Carrollton
Central City	3	Every treatment program in Central City
Columbia	3	Every treatment program in Columbia
Florence	3	Every treatment program in Florence
Harlan	3	Every treatment program in Harlan
Hindman	3	Every treatment program in Hindman

Counted one per organization in each city, so an organization in several cities counts in each. Another 92 cities have 130 between them; each city's program list has them.

About self-pay (cash)

Self-pay means paying the program yourself instead of billing insurance. Some people choose it for privacy or because their plan doesn't cover the program, and some programs offer a lower cash rate.

What self-pay (cash) usually covers, by level of care

Levels of care

Addiction treatment runs from detox and residential care, where you stay at the program, to PHP, IOP and outpatient counseling, where you live at home. Medication for addiction (MAT) can go with any of them. See IOP vs PHP vs outpatient care.

Ask the program for its self-pay price in writing and what it includes, and whether it offers a payment plan or a sliding-scale fee.

Call a program and ask

Call the program and ask them to verify your benefits; it's free and takes a few minutes.

Do you accept self-pay (cash) for substance use treatment, and for which levels of care?
Are you in network for my exact plan, and is prior authorization needed?
What would I pay a day or a week, and when is the next opening for an assessment?

Call the program yourself: Find Care doesn't take your insurance details, collect your name or pass anything to a program for you. This is general information, not a guarantee of coverage. What your plan pays depends on your plan, your state, whether the program is in network, and whether your plan decides the care is medically necessary. Call the number on your card, then the program, before you start.

Questions

How many addiction treatment programs in Kentucky take self-pay (cash)?

Cima Find Care lists 207, at 411 locations: Addiction Recovery Care (ARC), Addiction Recovery Centers (ARC), Altruism Counseling Services, ARC Addiction Recovery Care, Astra Behavioral Health and 202 more. Each one's page has its phone number, address, levels of care and the insurance on its record.

Which levels of care do they offer?

By level of care, 60 offer detox, 97 residential, 49 PHP, 119 IOP, 197 outpatient and 105 MAT (medication for addiction). Each program's page lists its own.

Are there addiction treatment programs in Kentucky with services in Spanish?

9 list services in Spanish: Crossroads Counseling Services, Mountain Comprehensive Care Center, Transitions Inc, Ellie Mental Health and 5 more.

Do any offer telehealth?

66 list telehealth on their record: Astra Behavioral Health, Baptist Health Trillium Center, BHG Elizabethtown Treatment Center, BHG Hazard Treatment Center and 62 more. Ask which parts of the program can be done by video.

What is self-pay (cash)?

Self-pay means paying the program yourself instead of billing insurance. Some people choose it for privacy or because their plan doesn't cover the program, and some programs offer a lower cash rate.

Which level of care do I need?

How do I check that a program takes my self-pay (cash)?

Ask the program for its self-pay price in writing and what it includes, and whether it offers a payment plan or a sliding-scale fee.

How current is this list?

It's built from SAMHSA's FindTreatment.gov, the federal NPI registry and the programs' own websites, as of 2026-10-28. Cima has not called these programs to confirm openings, fees or insurance. Programs can claim their listing to correct it.

What if I need help right now?

In an emergency, call 911. In a mental health or substance use crisis, call or text 988, any time. SAMHSA's National Helpline, 1-800-662-4357, is free, confidential and open all day, every day, and can refer you to treatment.

More by insurance

Detox in Texas that takes self-pay (cash) · Residential treatment in Texas that takes self-pay (cash) · PHP in Texas that takes self-pay (cash) · IOP in Texas that takes self-pay (cash) · Outpatient treatment in Texas that takes self-pay (cash) · MAT in Texas that takes self-pay (cash)