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

Addiction treatment costs vary widely across the United States, and North Dakota stands out for its combination of traditional rehabilitation services, innovative public funding, and unique geographic challenges. Understanding the pricing structures, insurance options, and available financial assistance can help individuals and families better navigate the cost of care.

This article focuses on the statistical data surrounding addiction treatment expenses in North Dakota, including inpatient and outpatient program fees, detoxification pricing, medication-assisted treatment (MAT) costs, rural-urban price variations, and nonprofit services. By presenting these figures clearly, we aim to provide resources that are valuable for anyone researching or comparing addiction treatment costs.

Below are some noteworthy statistics on treatment pricing and coverage.

• The average daily rate for a 13-week inpatient program in North Dakota is $713.89.
• Outpatient detoxification can cost between $1,000 and $1,500 total for uninsured individuals.
• Private insurance commonly covers between 60% and 90% of inpatient costs, depending on the specific plan.
• Monthly medication-assisted treatment (MAT) for methadone typically ranges from $350 to $450.

These core facts provide a snapshot of how treatment expenses can quickly add up without coverage or assistance. Below is a more detailed breakdown of costs, organized by service type and key factors influencing affordability.

Inpatient and Residential Treatment Costs

Inpatient care is the most intensive category of addiction treatment. It provides around-the-clock medical supervision, structured therapy sessions, and relapse prevention planning.

• An average 13-week residential program in North Dakota can cost $64,673 without insurance.
• Daily rates for these long-term programs often hover around $713.89, although luxury centers can exceed $30,000 per month.
• Insurance coverage of 60–70% can reduce a 13-week stay to $19,402–$38,804 out of pocket.
• Patients enrolled in Medicaid often pay $0 at state-contracted facilities.

Inpatient programs frequently bundle services like detox support, individual counseling, and post-treatment planning. Below is a table summarizing typical residential treatment expenses.

Outpatient Program Pricing

Outpatient treatment options offer flexibility for individuals who cannot commit to full-time residential care. Costs typically depend on session frequency, program intensity, and additional therapy services.

• Standard outpatient therapy (weekly sessions) can range from $100 to $300 per session.
• At three sessions per week, monthly costs can reach about $1,860 without insurance.
• Intensive outpatient programs (IOP) often cost $250–$500 per session, totaling $3,500–$11,000 over three months.
• Partial hospitalization programs (PHP), which involve close medical monitoring during the day, may cost $350–$800 daily, potentially exceeding $20,000 monthly.

Many outpatient facilities accept insurance and can offer reduced copays. Sliding-scale fees are also available at certain nonprofit clinics for low-income individuals. Below is an at-a-glance comparison of outpatient pricing tiers.

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Detoxification and MAT Expenses

Medical detox and medication-assisted treatment (MAT) are critical for managing withdrawal symptoms and maintaining long-term recovery.

• Outpatient detox ranges from $1,000 to $1,500 in total costs, depending on severity and clinical requirements.
• Inpatient detox averages $3,675 for seven days, with daily rates of $250 to $800.
• Rapid detox, which uses anesthesia, typically falls between $7,500 and $10,000.
• Buprenorphine can cost $100 per month for the medication alone, with counseling sessions at $50–$150 each.
• Methadone maintenance fees average $350–$450 monthly for near-daily dosing.
• Naltrexone injections can reach $1,000–$1,500 per shot.

Private insurance often offsets these expenses significantly, and expanded Medicaid in North Dakota covers most detox and MAT programs in full. The table below highlights detox and MAT prices.

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Insurance, Sliding-Scale Fees, and State Funding

Financial assistance and insurance coverage can drastically reduce the burden of addiction treatment costs, particularly for inpatient and detox services.

• Medicaid expanded eligibility in North Dakota, covering individuals earning up to 138% of the federal poverty level.
• State-contracted facilities often charge $0 copay for inpatient or outpatient services under Medicaid.
• Private insurance usually pays 60–90% of inpatient care and 45–60% of outpatient services after deductibles.
• High-deductible private plans may require upfront expenses of $5,000–$10,000 before coverage begins.
• Sliding-scale fees can reduce costs by 40–70% at certain nonprofits, especially for lower-income households.

North Dakota’s Behavioral Health Division also offers grants and vouchers for residents who exceed Medicaid income thresholds but cannot afford private insurance premiums. Many nonprofits, such as the Heartview Foundation or The Village Family Service Center, help fill coverage gaps.

Regional Variations and Sober Living Costs

Notable cost differences arise between urban centers and rural areas in North Dakota, affecting both primary treatment and follow-up care like sober living.

• In Bismarck and Fargo, inpatient programs commonly reach $718.58 per day, or about $21,557 monthly.
• Rural regions may see 10–15% higher outpatient fees due to fewer providers and higher operational overhead per patient.
• Transportation costs for rural residents can add $1,200–$1,800 monthly in regions with limited local treatment options.
• Sober living homes in North Dakota often charge $550–$600 per month, with certain programs offering 12 weeks of rent assistance for those transitioning from inpatient care.

Below is a brief look at typical sober living fees and regional cost differences:

While these differences can pose financial hurdles, public and private programs continue to expand assistance to rural areas, helping offset service costs for those seeking recovery support statewide.

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Key Statistics Summary

• $64,673 total cost for a 13-week inpatient program without insurance in North Dakota
• Outpatient detox can be as low as $1,000 for minimal clinical intervention
• Methadone maintenance treatment: $350–$450 per month
• Sober living homes typically charge $550–$600 monthly

North Dakota’s addiction treatment landscape includes a range of pricing options and financial resources, from fully funded state facilities and grant programs to sliding-scale outpatient services and private insurance plans. Thorough research into program types, insurance coverage, and regional differences can significantly lower out-of-pocket costs for individuals on the path to recovery.

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