Lexington, Kentucky
Addiction treatment in Lexington that takes self-pay (cash)
Cima Find Care lists 31 addiction treatment programs in Lexington that accept self-pay (cash), at 36 locations, out of 49 in the city. 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 31 addiction treatment programs that take self-pay (cash)
| Program | Where | Levels of care | Pays | Phone |
|---|---|---|---|---|
| Addiction Recovery Care (ARC) | 3439 Buckhorn Drive, Suite 160, Lexington 40515 | Detox, Residential, PHP, IOP, Outpatient, MAT | Medicaid · Private insurance | Call (859) 838-3390 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 |
| 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 |
| DeNova | 1301 Winchester Road, Suite 147, Lexington 40505 | Detox, IOP, Outpatient, MAT | Medicaid · Medicare | Call (859) 309-2814 Website |
| JourneyPure | 1401 Nicholasville Road, Lexington 40503 | Detox, Residential, PHP, IOP, Outpatient, MAT | Medicaid · Anthem Blue Cross and Blue Shield | Call (844) 409-3477 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 |
| New Season Lexington | 1098 East New Circle Road, Lexington 40505 | Detox, Residential, PHP, IOP, Outpatient, MAT | Medicaid · Medicare | Call (859) 721-6810 Website |
| Roaring Brook Recovery | 600 Perimeter Drive, Suite 125, Lexington 40517 | Detox, Residential, PHP, IOP, Outpatient, MAT | Medicaid · Aetna, Anthem Blue Cross and Blue Shield, Cigna +5 more; sliding-scale fee | Call (866) 678-8123 Website |
| 2nd Chance | 1420 North Broadway, Lexington 40505 | IOP, Outpatient, MAT | Medicaid · Private insurance | Call (859) 368-8820 Website |
| Care Clinic | 110 West Vine Street, Suite 300, Lexington 40507 | Outpatient, MAT | Aetna, Ambetter, Anthem Blue Cross and Blue Shield +10 more | Call (844) 782-6963 Website |
| CleanSlate Centers | 1500 Leestown Road, Suite 110, Lexington 40511 | Detox, Residential, PHP, IOP, Outpatient, MAT | Medicaid · Medicare | Call (859) 286-0350 Website |
| Crossroads Counseling Services | 409 West New Circle, Lexington 40511 | IOP, Outpatient, MAT | Medicaid · Aetna, Cigna, Humana +2 more; sliding-scale fee | Call (502) 370-1803 Website |
| New Vista 2 locations | 201 Mechanic Street, 1st Floor, Lexington 40507 | Residential, IOP, Outpatient, MAT | Medicaid · Private insurance | Call (859) 977-6080 Website |
| Shepherds House Inc | 635 Maxwelton Court, Lexington 40508 | Detox, Residential, IOP, Outpatient, MAT | Medicaid · Private insurance | Call (859) 252-1939 Website |
| Spero Health | 177 Burt Road, Lexington 40503 | Detox, Residential, IOP, Outpatient, MAT | Medicaid · Medicare | Call (859) 687-9725 Website |
| Alteri Behavioral Health | 190 West Lowry Lane, Suite 200, Lexington 40503 | Residential, IOP, Outpatient, MAT | Medicaid · Private insurance | Call (859) 277-4992 Website |
| DJG LLC 4 locations | 715 Shaker Drive, Suite 80, Lexington 40504 | IOP, Outpatient, MAT | Medicaid · Private insurance | Call (859) 810-5150 Website |
| Grin Grant Inc | 628 North Broadway, Suite 302, Lexington 40508 | IOP, Outpatient | Medicaid · Private insurance | Call (859) 309-0150 Website |
| HealthFirst Bluegrass | 496 Southland Drive, Lexington 40503 | Outpatient | Medicaid · Medicare; sliding-scale fee | Call (859) 288-2425 Website |
| KVC Behavioral Healthcare Kentucky | 2250 Thunderstick Drive, Suite 1104, Lexington 40505 | Residential, IOP, Outpatient | Medicaid · Private insurance | Call (859) 254-1035 Website |
| LifePath Behavioral Clinic | 1165 Centre Parkway, Suite 101, Lexington 40517 | Residential, PHP, IOP, Outpatient | Medicaid · Aetna, Humana, Medicare; sliding-scale fee | Call (859) 303-4657 Website |
| New Life Counseling Services | 996 East New Circle Road, Suite 1036, Lexington 40505 | Outpatient | Medicaid · Medicare | Call (859) 309-2384 Website |
| UK Healthcare PATHways Program | 217 Elm Tree Lane, Lexington 40507 | Outpatient | Medicaid · Aetna, Ambetter, Anthem Blue Cross and Blue Shield +8 more; sliding-scale fee | Call (859) 218-6165 Website |
| Windows of Discovery | 389 Waller Avenue, Suite 110, Lexington 40507 | Detox, Residential, PHP, IOP, Outpatient | Not on the record | Call (606) 678-9183 Website |
| Changed Lives Mental Health and Substance Abuse Counseling LLC | 149 Deweese Street, Lexington 40507 | IOP, Outpatient, MAT | Medicaid · Private insurance; sliding-scale fee | Call (859) 368-4105 |
| Changed Lives Substance | 207 East Reynolds Road, Lexington 40517 | IOP, Outpatient | Medicaid · Private insurance; sliding-scale fee | Call (859) 368-4105 Website |
| Mountain Comprehensive Care Center 2 locations | 152 West Zandale Drive, Lexington 40503 | Outpatient | Medicaid · Private insurance | Call (859) 368-8897 Website |
| Sunrise Childrens Services | 2465 C Nicholasville Road, Lexington 40503 | Residential, IOP, Outpatient | Medicaid · Private insurance | Call (859) 455-8185 Website |
| Invictus4Core | 1618 Harrisburg Road, Suite 101, Lexington 40504 | Outpatient | Medicaid · Private insurance; sliding-scale fee | Call (859) 368-0434 |
| Nolan Inc | 2401 Regency Road, Suite 101, Lexington 40503 | Outpatient | Not on the record | Call (859) 278-4673 |
| Walker House Sober Living and Behavioral Health Counseling | 642 West Main Street, Lexington 40508 | Outpatient | Medicaid · Private insurance; sliding-scale fee | Call (859) 310-3567 |
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.
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 Lexington take self-pay (cash)?
Cima Find Care lists 31, at 36 locations: Addiction Recovery Care (ARC), Altruism Counseling Services, BHG Lexington Treatment Center, DeNova, JourneyPure and 26 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, 10 offer detox, 15 residential, 8 PHP, 23 IOP, 31 outpatient and 18 MAT (medication for addiction). Each program's page lists its own.
Are there addiction treatment programs in Lexington with services in Spanish?
3 list services in Spanish: Crossroads Counseling Services, Changed Lives Substance and Mountain Comprehensive Care Center.
Do any offer telehealth?
12 list telehealth on their record: BHG Lexington Treatment Center, DeNova, JourneyPure, New Season Lexington and 8 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?
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. The guide to IOP vs PHP vs outpatient care explains how to tell which level fits.
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 in Lexington
Medicaid addiction treatment in Lexington · Addiction treatment in Lexington that takes Medicare · Addiction treatment in Lexington that takes TRICARE · Addiction treatment in Lexington that takes private insurance · Addiction treatment in Lexington with a sliding-scale fee · Addiction treatment in Lexington that takes Aetna · Addiction treatment in Lexington that takes Cigna · Addiction treatment in Lexington that takes UnitedHealthcare · Addiction treatment in Lexington that takes Humana · Addiction treatment in Lexington that takes Ambetter
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