Average Cost Of Addiction Treatment In South Dakota (2026)

The price of a drug rehab program in South Dakota changes based on the type of care a person needs, and looking at statewide numbers can help people prepare before they start looking for treatment. South Dakota runs a small treatment system compared to most states, but the need for care is still high, as nearly 60% of people admitted for substance use treatment in the state are dealing with both a drug and an alcohol issue at the same time.

Knowing what treatment usually costs can make it easier for South Dakota residents and their families to plan ahead and choose the right level of care, whether that’s detox, residential treatment, or an outpatient program.

Average Rehab Program Costs In South Dakota

Residential programs usually cost more than outpatient programs. That’s because residential care includes a place to stay, meals, and staff available around the clock.

Based on state-level treatment data, here’s what South Dakota treatment typically costs:

• outpatient rehab program cost in South Dakota is about $1,969 per person, making it the 2nd most expensive state in the country for outpatient care.
• residential rehab program cost in South Dakota is about $56,108 per person, which ties the state for the 10th cheapest in the nation for residential care.
• around 2,864 people receive addiction treatment in South Dakota each year.

These numbers are averages. Actual costs will change depending on how long someone stays in treatment, the type of facility, and what kind of care they need.

Cost By Level Of Care

Here’s a closer look at what people usually pay at each level of addiction care in South Dakota.

Medical Detox Costs

Medical detox helps people get through withdrawal safely, usually with a nurse or doctor watching over them. It’s often the very first step before other treatment starts. Detox in South Dakota generally costs $250 to $800 per day. A full detox stay, which is usually about a week, can run $1,750 to $5,600 without insurance.

Residential Treatment Costs

Residential treatment means living at the facility full-time while getting treatment. Residential care in South Dakota costs about $56,108 per person on average. That makes South Dakota one of the more affordable states in the country for this level of care.

Partial Hospitalization Program (PHP) Costs

A PHP is a step down from residential care. PHP costs in South Dakota usually run $350 to $450 per day. Over a full 30-day program, that adds up to roughly $10,500 to $13,500 before insurance.

Intensive Outpatient Program (IOP) Costs

An IOP lets people keep living at home and going to work or school while still getting several hours of treatment each week. IOP treatment in South Dakota typically totals $3,000 to $10,000 for a full program. Daily costs usually fall between $100 and $300, depending on how often someone attends and what’s included.

Standard Outpatient Treatment Costs

Outpatient treatment is one of the more common types of care used in South Dakota, even though the state has fewer providers than many others. Just over 2,300 people enroll in outpatient programs across the state each year. The average outpatient rehab cost in South Dakota is about $1,969 per person, which is higher than most other states. Sessions can range from $30 to $300 depending on the provider and what services are included.

Learn about outpatient treatment in South Dakota

Medication-Assisted Treatment (MAT) Costs

MAT pairs FDA-approved medicine with counseling to help treat opioid or alcohol addiction. MAT costs in South Dakota generally include a monthly medication charge of $100 to $500, fees for doctor visits, and the cost of counseling and support services.

Dual Diagnosis Treatment Costs

Dual diagnosis treatment treats a substance use disorder and a mental health condition at the same time. Because this care involves both psychiatric and addiction treatment, it usually costs more than standard rehab programs. Dual diagnosis treatment in South Dakota can cost $10,000 to $30,000 per month, depending on how intensive the care is.

Learn about dual diagnosis treatment in South Dakota

Factors That Affect The Cost Of Addiction Treatment In South Dakota

Below are some of the factors that influence the cost of treatment in South Dakota.

Here’s what usually affects the cost of care in South Dakota:

• Longer treatment stays usually cost more overall.
• Residential and medically supervised programs need more staff and resources, which raises the price.
• Private and luxury rehab centers in South Dakota often charge more than standard facilities.
• Extra medical or psychiatric services raise the overall cost.
• Prices can shift depending on where you go, since South Dakota has far fewer providers in rural areas than in cities like Sioux Falls or Rapid City.

South Dakota has both public and private treatment providers, so prices can vary quite a bit from one facility to the next.

Rehab Costs In South Dakota With Insurance Vs Without Insurance

Insurance can bring the out-of-pocket cost of rehab down significantly, though how much it helps depends on the plan. Deductibles, copays, and which providers are in-network all affect the final bill.

Private Insurance Coverage In South Dakota

Most private insurance plans in South Dakota cover at least part of substance use treatment.

Covered services often include:

• Medical detox is often covered, at least in part, by private insurance plans.
• Residential treatment is another service many private plans help pay for.
• Outpatient counseling is commonly included in coverage.
• Medication-assisted treatment is often covered under behavioral health benefits.
• Individual and group therapy sessions are typically included as well.

Once a deductible is met, many plans cover a large share of the remaining cost.

Medicaid Coverage In South Dakota

South Dakota Medicaid can help eligible residents pay for addiction treatment.

Covered services often include:

• Outpatient counseling is generally covered for eligible Medicaid recipients.
• Medication-assisted treatment is often included in Medicaid benefits.
• Behavioral health services are typically covered as well.
• Some residential treatment programs may be covered depending on medical need.

What’s covered depends on eligibility and whether a provider accepts Medicaid.

Paying For A Rehab Program Without Insurance In South Dakota

People without insurance are responsible for the full cost of treatment.

This can include:

• Program fees make up a large part of the total cost without insurance.
• Detox services add to the overall bill if they’re needed.
• Medication costs can add up, especially for longer treatment plans.
• Mental health care may be billed separately if dual diagnosis treatment is needed.
• Housing costs at a residential facility are one of the biggest expenses without coverage.

Free and low-cost rehab centers exist for South Dakota residents who can’t afford private treatment. Some treatment centers also offer payment plans or sliding-scale fees based on income.

Other Ways To Pay

There are several ways South Dakota residents can make treatment more affordable.

These payment options include:

• Payment plans through the treatment center can spread out the cost over time.
• Healthcare financing programs can help cover costs upfront.
• Sliding-scale fees based on income can lower the price at some facilities.
• State-funded treatment programs offer lower-cost or free care to eligible residents.
• Nonprofit grants and scholarships can help offset treatment costs.
• Help from family or friends is another common way people cover rehab expenses.

Learn about state-funded rehab programs in South Dakota

Is The Cost Of Rehab Worth It In South Dakota?

Treatment can be a big expense, but untreated addiction usually costs more in the long run.

Substance use disorders often lead to:

• Higher medical bills tend to build up over time when addiction goes untreated.
• Job loss or missed work can follow when a substance use problem isn’t addressed.
• Legal trouble is more common among people who don’t get treatment.
• Relationships with family and friends often become strained without support.

Nearly 3,000 people get addiction treatment in South Dakota every year, even with a smaller network of providers than many other states. For most people, the benefits of getting sober outweigh what treatment costs up front.

Access To Care And Treatment Demand In South Dakota

South Dakota’s treatment network is one of the smallest in the country, but it still reaches a number of residents each year.

State treatment data shows:

• South Dakota has 64 active substance abuse treatment facilities.
• About 2,864 people receive addiction treatment in the state annually.
• Roughly 2,346 people enroll in outpatient treatment programs each year.
• About 370 people enroll in residential treatment programs each year.
• Around 148 patients receive hospital-based addiction treatment each year.
• The state spends about $4.62 million on outpatient treatment services annually.
• The state spends about $20.76 million on residential treatment services annually.

How many people need care, how many providers are available, and how much insurance is accepted all shape what treatment costs across the state of South Dakota.