Addiction Treatment Costs in Maryland : Pricing, Insurance, and Affordable Options (2025)

Managing the cost of addiction treatment can be challenging, especially when options vary so widely across facility types and care levels. In Maryland, individuals encounter a diverse range of programs—from state-funded residential treatment to premium inpatient centers—each with distinct pricing models. This article compiles key data on the cost of care, insurance coverage, and affordable solutions for substance use treatment in Maryland.

Maryland’s landscape includes inpatient programs, outpatient care, detoxification services, and medication-assisted treatment (MAT). Each modality carries its own pricing framework. The following sections present critical statistics on these costs and highlight programs or resources that offer sliding-scale fees or reduced-cost services. Readers can use these data points to better understand the financial considerations involved in seeking addiction recovery services throughout the state.

Key Statistics at a Glance

• The average annual treatment cost across all program types in Maryland is $56,783.
• Thirty-day inpatient programs can start as low as $6,000 for basic facilities and exceed $20,000 for premium centers.
• Standard outpatient programs cost an average of $56.70 per day without insurance, or about $1,701 per month.
• Some state-funded residential options charge as little as $400 per month over a 90-day stay.

These figures illustrate just a small sample of Maryland’s cost variation. Below, we break down inpatient, outpatient, detox, and medication-assisted treatment to provide an in-depth look at the state’s pricing landscape. Several affordability models and reduced-cost options also help mitigate out-of-pocket expenses for qualifying individuals.

Inpatient and Residential Treatment Costs

Inpatient programs often feature intensive services, contributing to higher costs than many outpatient options.

• Typical 30-day inpatient programs range from $6,000 at basic facilities to $20,000+ at premium centers.
• Extended 90-day inpatient programs average between $18,000 and $60,000.
• Luxury inpatient facilities can charge up to $80,000 for executive-style amenities.
• One state-funded residential facility reports costs of $400 per month for a 90-day stay.
• Certain faith-based programs charge $4,800 total for 12 months.

Inpatient care is often more expensive due to staffing, housing, and 24/7 medical oversight. The table below outlines typical inpatient cost ranges in Maryland.

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Outpatient Services and Pricing

Outpatient treatment helps individuals continue daily responsibilities while receiving care at scheduled intervals.

• Standard outpatient programs often cost $56.70 per day without insurance, roughly $1,701 per month.
• Intensive outpatient programs (IOPs) can range from $22.68 to $125.98 per day.
• Some mid-tier partial hospitalization programs (PHP) in Maryland charge $290.85 – $5,680.27 weekly, depending on medication-assisted bundles.
• Rural patients may travel long distances, incurring transportation costs of approximately $200 per month in fuel and lost wages.

Lower daily rates can make outpatient services more accessible for some individuals, although costs vary based on counseling hours and medical oversight.

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Detoxification Costs

Detox provides medical support for individuals withdrawing from substances, typically over 3-7 days.

• Medically supervised detox programs charge $300 – $800 per day on average.
• Seven-day detox treatments may total $2,100 – $5,600.
• Some state-contracted facilities offer sliding-scale detox starting at $15 per day.
• Uninsured patients accessing block grant funding can pay $0 – $200 total in certain programs.

Detox costs can fluctuate based on the intensity of medical monitoring. Some facilities add lab tests or psychiatric evaluations to daily rates.

Medication-Assisted Treatment (MAT) Pricing

MAT uses medications like methadone, buprenorphine, or naltrexone alongside counseling for opioid use disorder.

• A weekly methadone bundle, which includes counseling and medication, can cost $268.89.
• Buprenorphine ranges from $295.87 for oral formulations to $2,006.50 for injectables weekly.
• A monthly naltrexone injection typically runs around $1,709.79.
• Uninsured patients may pay $5 per methadone dose at some subsidized clinics.

Though MAT often reduces long-term costs by lowering risk of relapse, out-of-pocket expenses can still be substantial for the uninsured.

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Insurance Coverage and Out-of-Pocket Factors

Insurance plans in Maryland vary in their benefits, deductibles, and coinsurance amounts. Private insurers, Medicaid, and employer-sponsored plans all influence the final cost of care.

• Inpatient coverage under Maryland Medicaid can span up to 90 days with $0 copays for eligible beneficiaries.
• One major private insurer features a $500 deductible and 10% coinsurance for in-network rehab services.
• High-deductible plans may leave members with up to $7,500 in out-of-pocket maximum costs for substance use treatment.
• Out-of-pocket expense for a 30-day inpatient stay, without insurance, can exceed $18,000.

Coverage gaps and high deductibles often push individuals to either seek lower-cost state-funded programs or explore sliding-scale fee structures.

Affordability Programs and Sliding-Scale Fees

In Maryland, many providers offer sliding-scale pricing or low-cost services for individuals who meet specific income guidelines.

• Over 60% of treatment centers in Maryland provide income-based adjustments.
• Some nonprofit providers offer $0 copays for dual-diagnosis patients.
• Patients below 100% of the federal poverty level may receive an 80–100% discount.
• Individuals earning between 150–200% FPL could see 25–40% cost reductions.

Sliding-scale models can significantly reduce costs for uninsured or underinsured patients, particularly when paired with public assistance programs.

Key Statistics Summary

• The state’s average annual cost for addiction treatment programs is $56,783 across inpatient, outpatient, and MAT options.
• Premium residential facilities may cost up to $80,000 for a 90-day luxury stay.
• Outpatient daily costs commonly average $56.70, translating to $1,701 per month when paid out of pocket.
• Medication-assisted treatments can reach $2,006.50 weekly for injectable buprenorphine.
• Income-based fee reductions range from 25% to 100% off standard program costs.

Overall, Maryland’s addiction treatment costs reflect significant variability but include multiple affordable care options. By examining local facility prices, insurance details, and sliding-scale programs, individuals can find the financial model best suited to their recovery needs.

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