Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Generation details were not recorded for this description.
Original text from hospital filings
SPRAVATO (84 MG DOSE) 28 MG-DEVICE NA SOPK
Low
$39
Average
$895
Median
$51
High
$2.6k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 62.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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15 hospital rates
iThe hospitals that file a First Health rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 3 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 4 | Greenfield Area Medical Center Greenfield, OH facility · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 5 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.6k | $3.6k | $719 | 20% | — | $2.9k – $4.3k |
| 6 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | $719 | 20% | — | $2.9k – $4.3k |
| 7 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 8 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 9 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | Pike Health Services Inc Waverly, OH facility · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 12 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.5k | $1.5k | $0 | 0% | — | $1.5k – $1.5k |
| 13 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | $0 | 0% | — | $1.5k – $1.5k |
| 14 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $2.3k | $2.3k | $464 | 20% | — | $1.9k – $2.8k |
| 15 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | $591 | 20% | — | $2.4k – $3.5k |
← Payers reporting HCPCS S0013 · Snapshot 20261111T120946Z-9134e7f7