2025’s Top Rehab Centers in Boston (from $0), Drug & Alcohol Support Resources

Boston, Massachusetts

How to Choose Treatment in Boston 

If you’re ready to get the best help for you in Boston, you can start today. The city’s hospitals, nonprofits, and community health centers offer same-day stabilization, medications for addiction treatment (MAT), outpatient therapy, recovery housing, and more. Call ahead if you’re looking for a residential bed — teen-specific and luxury amenity programs fill up fast. Most insurance is accepted, MassHealth (Medicaid) is common, and there are free or very low-cost programs if you don’t have insurance. If you want a high-end residential setting or a private room, you might find more choices just outside the city.

Can I start detox in Boston today?

Yes. You can start safely today. Call a rapid-access clinic to begin medication for withdrawal and stabilization. Call first to confirm space: 

• Boston Medical Center’s Faster Paths urgent-access program: 617-414-4580

• Mass General Hospital’s Bridge Clinic: 617-643-8281

When you call, ask about Spanish-language services and Massachusetts Bay Transportation Authority (MBTA) transit access. If they’re full, ask for bridge care (telehealth check-ins, short-term medication refills, or groups) so you can start safely right away.

Do I need to travel for rehab, or is care available in Boston?

You usually don’t have to travel. Boston offers detox, inpatient, outpatient, MAT, therapy, telehealth, and sober living. Travel can help if you have specific preferences, such as private rooms or upscale amenities. Teens and young adults may need to look beyond the city for dedicated inpatient youth beds as many Boston programs serve young adults, but youth-exclusive residential options are more limited.

Paying for Addiction Treatment in Boston

How much does rehab cost in Boston?

Rehab prices can look overwhelming, but most people pay far less once insurance or financial aid is applied. Before you start treatment, ask for a written estimate, whether the program is in-network for your plan (and if prior authorization is required), and ask about sliding-scale fees or financial help. Learn more about the cost of rehab. 

Typical Costs (publicly funded or community-based programs; not luxury):

• A little over three months of residential care in Boston usually costs about $23,505 if you pay out of pocket. With insurance that covers 80%, you’d pay closer to $4,701 total — or about $1,446 per month.

• A three-month intensive outpatient program in Boston usually costs about $10,175 if you pay out of pocket. With insurance that covers 80%, you’d pay closer to $2,035 total — or about $678 per month.

• A four-to-five-month non-methadone outpatient program in Boston usually costs about $5,775 if you pay out of pocket. With insurance that covers 80%, you’d pay closer to $1,155 total — or about $257 per month.

• About two years of methadone maintenance in Boston usually costs about $20,734 if you pay out of pocket. With insurance that covers 80%, you’d pay closer to $4,147 total — or about $191 per month.

What private insurers provide in-network coverage in Boston?

Many major plans include in-network options — commonly Blue Cross Blue Shield of Massachusetts, Aetna, Cigna, UnitedHealthcare, and others. Always confirm network status, prior authorization, and copays with your plan and the facility.

Are there free or low-cost rehab programs in Boston?

Yes — you can find free and low-cost treatment options in Boston. If you don’t have insurance or resources, you can still get care through government-funded providers and nonprofit organizations. Start by calling the Boston Public Health Commission at 3-1-1 or using the Free, Sliding Scale Fee, and Payment Assistance filter options on this directory to find no-cost and low-cost options. If you do have insurance, your plan may cover some or even the full cost of treatment — you’ll need to call the facility to confirm.

• Mass 2-1-1: Dial 2-1-1 for referrals to low- or no-cost treatment, transportation, shelters, and other supports.  

• State-funded services (Substance Abuse Block Grant - SABG): Massachusetts uses federal block-grant dollars to support detox, residential, and clinic care for uninsured or under-insured residents. 

• County and community programs: Boston community health centers — such as Dimock Detox Center, NeighborhoodHealth, and Fenway Health — may provide sliding-fee or grant-funded substance use services based on income and need.

• Nonprofit and faith-based programs: Examples include Victory Programs, Hope House, Casa Esperanza, and the Gavin Foundation, which offer low-cost or sliding-scale care; some provide grant-funded detox, residential, outpatient, or recovery housing depending on eligibility and availability.

• Emergency stabilization: In a crisis, call the statewide Behavioral Health Help Line at 833-773-2445. Stabilization comes first, and financial support can be handled after.

Keep in mind there are many free non-clinical peer support and counseling resources available as well.

Best Rehabs in Boston

What does “best” mean?

“Best” means best-for-you — care that matches your level of need, works with your insurance and budget, and fits your life (location, schedule, family). Start by listing what you need and what your plan covers, then choose an option you can start now and stick with. The programs below are examples of options that may be a good fit depending on your needs — explore them to see which might be right for you.

Facilities are included based on licensing, accreditations (when noted), years in operation, and endorsements from trusted local organizations. Always verify current availability and coverage. This is not a definitive ranking.

What are the best rehabs in Boston?

Notable programs you can consider are Hope House Addiction Services (Boston’s oldest residential program), the Gavin Foundation’s network (including Charlestown Recovery House who you can call at 617-242-0088), Victory Programs’ residential homes, and Granada House in Allston. These programs stand out for decades of service, accreditations, evidence-based counseling, and affordability through MassHealth and state funding. In Boston, residential beds can turn over quickly so call to confirm space and ask for bridge care if there’s a wait. 

What are the best rehabs for LGBTQIA+ people in Boston?

While there aren’t any LGBTQIA-only residential rehabs in Boston, several programs are explicitly affirming. New Joelyn’s Home welcomes LGBTQIA+ women in an inclusive setting, Fenway Health provides LGBTQIA-focused outpatient services, and nonprofits like Victory Programs and Casa Esperanza emphasize nondiscrimination and identity-affirming care. When you call a program, ask about affirming clinicians, LGBTQIA-specific groups, and placement based on your gender identity and comfort.

What are the best rehabs for pregnant people and parents in Boston?

Strong options include Victory Programs’ New Joelyn’s Home (women-only), Shepherd House (priority spots for pregnant and postpartum people), Casa Esperanza’s Latinas y Niños (bilingual, mother-and-child residential), and Women’s Hope (short-term, co-occurring focus). Each program is trauma-informed, community-based, and built to support safety, parenting, and stability while in care. Many of the programs help keep families together when possible and plan housing, childcare, and follow-up medical care. When you call a program, ask about childcare support, perinatal coordination, and whether medications for addiction treatment are available if you’re pregnant or breastfeeding.

What are the best low-cost or free rehabs in Boston?

Good low-cost options to look into include Granada House, Hope House, Victory Programs, Casa Esperanza, and the Gavin Foundation. Many are MassHealth-funded or state-partnered and offer residential and outpatient services at low- or no-cost. When you call, ask whether you qualify for sliding-fee or other financial help, whether they can enroll you in MassHealth or provide a referral, and — if they’re full — whether you can join a Bureau of Substance Addiction Services (BSAS)-funded waitlist and start bridge care immediately. Don’t delay: get on a list, start bridge care, and keep daily contact until you’re admitted.

What are the best dual-diagnosis rehabs in Boston?

Notable programs for co-occurring mental health and substance use needs include Boston Medical Center’s Grayken Center, Meridian House (North Suffolk), McLean Hospital (Belmont), and Victory Programs (e.g., Women’s Hope; LARC). Call to ask about integrated psychiatry, medication management, and coordinated aftercare.

Choosing the Right Rehab

How do I choose the right level of care?

Start with an independent assessment from a clinician who specializes in substance use problems and isn’t employed by a treatment center. They can help you choose between treatment options like outpatient, residential, hospital inpatient, withdrawal management (detox), and medications used alongside therapy. Learn more about choosing the right rehab for your needs. 

Who can help me choose the best rehab in Boston right now?

Call the Massachusetts Substance Use Helpline at 1-800-327-5050 (or text “HOPE” to 800-327) for help checking eligibility and openings. Providing Access to Addictions Treatment, Hope, and Support (PAATHS) at 855-494-4057 offers walk-in assessment and placement support.

When you call, say: ‘I’m in Boston and need [detox/IOP/residential]; I have [Medicare/other]. Do you have openings this week?’

How can I check if a Boston rehab is licensed (and accredited)?

Before you choose, look up the program on the BSAS Licensing System or ask the facility for its BSAS license number to confirm that it is licensed in Boston. Also ask whether they hold national accreditation (e.g., The Joint Commission or CARF). Accreditation isn’t required, but it’s a useful extra quality signal. Learn more about accreditation and other indicators of quality care.