Why don't you publish a price list for luxury rehab?

Because a single 'per day' figure hides the variables that actually determine cost — length of stay, staffing ratio, medically supervised versus non-medical detox, and which ancillary therapies a physician actually schedules for that guest. A number without those inputs is not comparable between facilities.

Will my insurance cover treatment at an out-of-country private facility?

That depends entirely on your plan. Most U.S. insurers treat out-of-network, out-of-country private care differently from domestic in-network care, and some exclude it altogether. Sanctuary Tulum's admissions team can provide documentation for reimbursement requests, but guests should verify coverage directly with their own carrier before relying on anything stated on a website, including this one.

Does a longer stay always cost more?

Generally yes, because staffing, therapies, and accommodation are billed across the length of stay, which commonly ranges from four to sixteen weeks depending on the individual's clinical picture. A longer stay is not automatically the right choice for every guest — it is set individually with the medical team.

What should I ask a facility before paying a deposit?

Ask who is on site and when (physician, nursing, therapists), what the staff-to-guest ratio actually is at the hours you'll be there, whether detox is medically supervised, which therapies are included versus billed separately, and what the cancellation and refund terms are in writing.

Luxury Rehab Cost | Sanctuary Tulum

Luxury rehab cost is driven far less by the address than by what happens inside it: how many clinicians are awake and watching vitals at 3 a.m., whether detox is medically supervised, how long the guest stays, and how much of the schedule is genuinely one-on-one versus group. Two facilities quoting similar "per day" numbers can deliver very different levels of care, which is why comparing headline prices without comparing inputs is close to meaningless.

Length of Stay Is the First Cost Driver

Private residential programs commonly run anywhere from four to sixteen weeks. A short stabilization stay and a longer, phased program that includes preparation, treatment, and integration are different products even when priced by the week, because staffing, meals, housing, and clinician time are billed across every day the guest is on site. A facility that only offers a fixed short program cannot flex to a guest who needs a slower taper or more integration time — and rushing either phase is a false economy, since the National Institute on Drug Abuse notes that treatment length and continuity are directly tied to how durable a change tends to be.¹

Staffing Ratio and 1:1 vs. Group Care

The single biggest driver behind any serious price difference is staffing ratio. A program built around one-to-one clinical time — a therapist, physician, and support team oriented around a single guest — carries a fundamentally different labor cost than a group-based model where several clients share the same therapist hours in a day. Neither model is inherently "better" for every person, but they are not the same product, and a guest comparing two facilities should ask directly what the ratio is at the hours that matter, not just during a daytime tour.

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Medically Supervised vs. Non-Medical Detox

Whether detox is medically supervised is a cost driver in its own right, and it is also a safety one. Alcohol and benzodiazepine withdrawal in particular can involve serious, sometimes life-threatening complications, and clinical guidance describes structured monitoring and, where indicated, tapering protocols as central to managing that risk safely.² A facility that runs medically supervised detox needs a physician and nursing coverage sized to actual acuity, not a skeleton crew supplemented by wellness staff. "Detox" offered without on-site medical oversight is a different — and less expensive — service, and guests should ask exactly who is qualified to intervene if vitals become unstable overnight.

Physician and Nursing Coverage

Ask precisely who is on site, and when. A program advertising "24/7 medical care" may mean a physician on call by phone, a nurse in the building, or a full clinical team present overnight — those are very different staffing costs and very different guest experiences. At Sanctuary Tulum, a physician-led team plans and supervises clinical protocols, with nursing and integrative practitioners supporting day-to-day care; guests are welcome to ask for the specifics of that coverage before committing.

Ancillary Therapies: IV, HBOT, and Ozone

Regenerative and adjunct therapies — IV nutrient protocols, hyperbaric oxygen therapy (HBOT), and ozone therapy — are frequently cited in luxury program marketing, and each carries its own equipment, consumables, and clinician time cost. HBOT has published evidence in specific contexts such as post-concussion syndrome and fibromyalgia-related presentations,³ and ozone therapy has a documented, if still-developing, clinical literature.⁴ These are reasonable additions to a program when a physician determines they are appropriate for a specific guest — but no facility should suggest that every guest receives every therapy, and a prospective guest should ask which of these are actually included in their individual plan versus offered as an add-on.

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Accommodation, Transport, and Aftercare

Private suite versus shared accommodation changes the cost structure the way it would at any hospitality property, but in a treatment setting it also changes privacy and the ability to rest undisturbed during a difficult stretch of the process — a meaningful clinical consideration, not just a comfort one. Airport transfer and on-site transport are usually bundled into a private program rather than left to the guest to arrange. Aftercare — a written integration plan, referrals to trauma-informed practitioners at home, and scheduled check-ins — is easy to leave out of a quoted price, so ask explicitly whether it is included or billed separately, and for how long after departure it runs.

Why 'Per Day' Comparisons Mislead

A per-day figure says nothing about staffing ratio, medical acuity coverage, which therapies are included, or the length of the program that price is drawn from. A sixteen-week program with full-time nursing and daily individual therapy will have a different per-day economics than a four-week program with a lighter clinical footprint, even if the sticker figures look similar when annualized. The only comparison worth making is line-by-line: who is on staff, what is included, what is billed separately, and what happens if the guest needs to extend their stay.

Personalized Program Tiers, Not a Fixed Menu

Sanctuary Tulum structures its private programs as the Gold, Platinum, and Elite VIP tiers, each built around a different scope of accommodation, staffing intensity, and available therapies. These tiers describe a starting framework, not a guarantee that every guest in a given tier receives every listed service — the physician-led team sets the actual protocol for each individual after clinical screening, and it is reasonable for a prospective guest to ask exactly what is included in their specific plan rather than assuming a tier name covers everything advertised alongside it. Full tier details live on the Sanctuary Tulum packages page.

What Insurance Typically Does — and Does Not — Cover

Most private, out-of-country residential programs are private pay. U.S. insurance plans vary enormously in how — or whether — they reimburse out-of-network, out-of-country care, and some exclude it entirely regardless of the diagnosis being treated. Some families are able to use out-of-network reimbursement, health savings accounts, or documentation for a flexible spending account; others find their plan will not reimburse any portion of an out-of-country stay. Because plan language differs case by case, guests should call their own carrier and ask specifically about out-of-network, out-of-country residential behavioral health benefits before assuming coverage exists — a facility's admissions team can supply invoices and clinical documentation, but it cannot tell a guest what their own policy will pay.

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The Cost of Untreated or Repeatedly Relapsing Addiction

Cost comparisons should also account for what happens without effective treatment. The National Institute on Drug Abuse describes addiction as a chronic, relapsing condition, comparable in that respect to other chronic illnesses that require sustained management rather than a single fix.¹ The National Institute on Alcohol Abuse and Alcoholism similarly frames alcohol use disorder as a chronic condition with cumulative health consequences the longer it goes unaddressed.⁵ Every additional admission to any level of care — standard or luxury — carries its own cost in dollars, lost time, and strain on relationships. That context matters when weighing a single, carefully sequenced stay against a pattern of repeated, shorter interventions, though no program, including this one, can promise a given guest will avoid relapse.

How Care Is Sequenced Before Cost Is Finalized

Every prospective guest completes a confidential clinical intake and medical screening before any protocol — ceremony, high-dose IV, or otherwise — is scheduled or priced. The screening reviews medical history, current medications, cardiovascular status, and mental health history, and where a guest is on SSRIs, SNRIs, MAOIs, benzodiazepines, opioids, or lithium, the physician-led team coordinates a documented plan with the guest's own treating physician rather than instructing anyone to stop medication independently. Only after that screening does the team confirm which combination of medically supervised care — potentially including medically supervised ibogaine treatment, private ayahuasca ceremonies, or psilocybin therapy — fits that individual, under the broader Pouyan Method™ framework. Facility licensing sits with COFEPRIS, Mexico's federal health regulator, and credentialing detail is published on the Medical Review Board page.

Honest Questions to Ask Before Paying a Deposit

What is the actual staff-to-guest ratio overnight, not just during business hours?
Is detox medically supervised, and by whom specifically?
Which therapies are included in the quoted price, and which are billed as add-ons?
What happens, financially and clinically, if my stay needs to extend?
What is the cancellation and refund policy, in writing?
What does the written aftercare and integration plan include, and for how long does it run?

A facility that answers these plainly, before a deposit changes hands, is telling a prospective guest something real about how it operates. For a broader look at what one-to-one care structurally includes, see the specific benefits of luxury rehab, and for a side-by-side look at delivery models, read luxury rehab versus traditional rehab.

On-Site Medical Oversight

A physician is on site, supported by registered nurses, IV therapy specialists, and integrative practitioners. Vitals are monitored across every physician-supervised session — blood pressure, oxygen saturation, and cardiac rhythm where clinically indicated — with emergency medications and airway equipment on hand. A broader description of the safety approach is on the safest psychedelic facility page. Guests are welcome to review it before deciding whether a program fits them.

For a side-by-side look at how programs at this level actually compare, see our editorial review of the leading luxury rehab centers breaks down clinical staffing, privacy, program length, and what the price actually buys.