Drug and Alcohol Rehab Centers in St. Elmo, Chattanooga, Tennessee
St. Elmo sits within Chattanooga, a river city beneath Lookout Mountain, close to the Georgia state line. Care recorded nearby includes addiction detox, residential inpatient care and intensive outpatient (IOP).
Each listing is reviewed before publication, covering federal registration and Tennessee Department of Mental Health and Substance Abuse Services licensing.
9 Drug and Alcohol Rehab Treatment Centers in St. Elmo (Chattanooga)
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Drug and Alcohol Rehabs in St. Elmo, Chattanooga
St. Elmo sits at the foot of Lookout Mountain in south Chattanooga, in the valley where the Tennessee River cuts around the point.
The neighborhood was developed from the 1880s as a resort community and takes its name from a novel by Augusta Jane Evans, published in 1866 and among the bestselling American books of the century.
The Lookout Mountain Incline Railway has climbed from St. Elmo Avenue since 1895 and is among the steepest passenger railways in the world. Much of the district is a historic conservation area of Victorian houses.
Broad Street and St. Elmo Avenue run through the district with Interstate 24 to the north. Downtown is around ten minutes north-east and the Georgia line five minutes south.
Hamilton County is designated part of the Southeast High Impact Area in the state overdose response framework, alongside ten surrounding counties.
State overdose prevention staff have described the Hamilton County region as carrying the fourth-highest overdose fatality rate in Tennessee, with fentanyl involved in most cases regardless of what else is present.
The county launched its own Overdose Prevention Team in November, pairing certified peer recovery specialists with paramedics to connect people to treatment before an overdose occurs.
Alcohol remains the most common reason people enter treatment locally, and methamphetamine is widespread across south-east Tennessee.
Which Level of Care Do You Need
The counts below reflect facilities in or near St. Elmo — 9 within reach, drawing on the southern side of the city.
Medically Supervised Detox
Detox manages withdrawal under clinical observation, usually across several days, and is where treatment begins for anyone physically dependent on alcohol, opioids or benzodiazepines. Around 3 of the 9 facilities in or near St. Elmo offer detox, with three more offering hospital inpatient care. That is well above the Tennessee average.
Inpatient Residential Treatment
Residential care provides a structured live-in setting for weeks or months. About 2 facilities in or near St. Elmo offer it.
Outpatient, IOP and PHP Treatment
Outpatient care lets you live at home while attending sessions. Around 8 facilities offer outpatient services, 5 offer IOP and 2 offer PHP. Seven offer telehealth and 7 offer medication-assisted treatment. Brainerd has nine IOP providers if you need a wider choice.
Dual Diagnosis and Co-Occurring Disorders Treatment
Dual diagnosis care treats a substance use disorder and a mental health condition together rather than in sequence. Around 6 of the 9 facilities in or near St. Elmo indicate they treat co-occurring disorders.
Sober Living Homes and Transitional Living
Sober living homes provide drug-free housing after formal treatment ends. This directory does not list recovery residences separately, and the historic district zoning makes them uncommon here. The Tennessee Alliance for Recovery Residences maintains the register for Hamilton County.
Addiction Treatment Cost and Insurance Coverage
Eight of nine facilities accept TennCare, proportionally the strongest in central Chattanooga.
How Much Does Addiction Rehab Cost in St. Elmo
Detox in St. Elmo runs roughly $7,000 to $22,000 a month and PHP $7,500 to $13,000. IOP runs $2,500 to $9,000 monthly, residential $5,000 to $22,000 and outpatient $1,200 to $4,500. Of the 9 facilities in or near St. Elmo, 8 accept TennCare and 6 accept Medicare.
Eight of nine accepting TennCare means cost rarely limits what is available here, and detox is better provided across Chattanooga than in any other Tennessee city.
| Level of care | Monthly | Daily |
|---|---|---|
| Medical detox (inpatient) | $7,000 – $22,000 | $230 – $730 |
| Residential inpatient | $5,000 – $22,000 | $170 – $730 |
| PHP | $7,500 – $13,000 | $250 – $430 |
| IOP | $2,500 – $9,000 | $85 – $300 |
| Outpatient | $1,200 – $4,500 | $40 – $150 |
| Level of care | Monthly | Daily |
|---|---|---|
| Residential inpatient | $27,000 – $90,000+ | $900 – $3,000+ |
| PHP | $13,500 – $33,000 | $450 – $1,100 |
| IOP | $9,000 – $24,000 | $300 – $800 |
| Outpatient | $4,500 – $13,500 | $150 – $450 |
Does Insurance Cover Rehab in St. Elmo
Yes. Federal parity law requires most health plans to cover substance use treatment on terms comparable to medical care. Among the 9 facilities in or near St. Elmo, 8 accept TennCare and BlueCare Tennessee and 6 accept Medicare. Blue Cross Blue Shield, Aetna, Cigna and UnitedHealthcare are widely accepted.
Because the Georgia line is five minutes south, some residents hold out-of-state plans. TennCare requires Tennessee residency and Georgia Medicaid does not transfer, which catches people out more often here than elsewhere in the city.
Free and State-Funded Addiction Rehab in St. Elmo, Chattanooga
Hamilton County has built out its overdose response considerably in the past year.
Eight of the 9 facilities in or near St. Elmo accept TennCare, and an eligibility check costs nothing.
The Hamilton County Overdose Prevention Team pairs peer recovery specialists with paramedics and connects people to treatment directly.
The Hamilton County Health Department coordinates naloxone distribution, and the Tennessee REDLINE on 800-889-9789 takes calls and texts around the clock.
More Help and Recovery Support
Erlanger Health System is the academic and level one trauma center for south-east Tennessee, north Georgia and north Alabama, and takes transfers from across that catchment. CHI Memorial and Parkridge Health System both operate across the metro, and Parkridge Valley provides specialist psychiatric and addiction inpatient capacity.
Alcoholics Anonymous meets daily across St. Elmo and south Chattanooga through the Chattanooga Area Intergroup. Narcotics Anonymous operates through the Volunteer Region. Celebrate Recovery is widespread in south-east Tennessee churches. Adjacent Southside, Downtown Chattanooga and Brainerd carry further options.
Free lines, available now
Tennessee REDLINE — call or text 800-889-9789, free and confidential, 24 hours a day
988 Suicide & Crisis Lifeline — call or text 988
Tennessee Statewide Crisis Line — 855-274-7471
SAMHSA National Helpline — 1-800-662-4357
Rehab Seekers is a directory. The information on this page is for general reference and is not medical advice. Decisions about treatment should be made with a licensed clinician who knows your history. If you or someone you care about is in immediate danger, call 911.
References and Citations
Tennessee Department of Health — Overdose Response Coordination Office High Impact Area designations.
Hamilton County Health Department — Overdose Prevention Team and naloxone distribution.
Tennessee Department of Health — Drug Overdose Deaths Report 2024.
Rehab Seekers directory listings, St. Elmo, August 2026.
Rehab Seekers market rate research, Tennessee standard and luxury programs, 2026. Ranges are indicative and vary by facility, length of stay and coverage.