ESKETAMINE, NASAL SPRAY

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

Humana pricing summary

Low

Average

$86

Median

$44

High

$1.5k

Humana rate distribution

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49 hospital rates

#		Plans
1	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient	1	$5.8k	$5.8k	—	—	—	$5.8k – $5.8k
2	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges	1	$54	$54	$1	2%	—	$53 – $55
3	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges	2	$40	$40	$3	8%	—	$37 – $44
4	Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient	1	$15	$15	—	—	—	$15 – $15
5	Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient	1	$78	$78	—	—	—	$78 – $78
6	Boulder Community Health Lafayette, CO professional · fee schedule · both	1	$13	$13	—	—	—	$13 – $13
7	Carle BroMenn Medical Center Normal, IL fee schedule · inpatient	1	$13	$13	—	—	—	$13 – $13
8	Carle BroMenn Medical Center Normal, IL fee schedule · outpatient	1	$13	$13	—	—	—	$13 – $13
9	Carle Eureka Hospital Eureka, IL fee schedule · inpatient	1	$13	$13	—	—	—	$13 – $13
10	Carle Eureka Hospital Eureka, IL fee schedule · outpatient	1	$13	$13	—	—	—	$13 – $13
11	Central Georgia Rehabilitation LLC Macon, GA fee schedule · both	2	$20	$20	—	—	—	$20 – $20
12	Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI fee schedule · outpatient	3	$18	$18	—	—	—	$18 – $18
13	Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient	1	$170	$170	—	—	—	$170 – $170
14	FISHERMENS HEALTH, INC MARATHON, FL percent of total billed charges · bothfrom % of charges	2	$7	$7	—	—	—	$7 – $7
15	Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient	2	$41	$41	$6	14%	—	$34 – $48
16	HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient	1	$45	$44	$7	17%	—	$30 – $51
17	Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient	1	$45	$44	$7	17%	—	$30 – $51
18	Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient	1	$45	$44	$7	17%	—	$30 – $51
19	Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient	1	$45	$44	$7	17%	—	$30 – $51
20	Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · fee schedule · outpatient	1	$45	$44	$7	17%	—	$30 – $51
21	Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · fee schedule · outpatient	1	$45	$44	$7	17%	—	$30 – $51
22	MARINERS HOSPITAL TAVERNIER, FL percent of total billed charges · bothfrom % of charges	2	$7	$7	—	—	—	$7 – $7
23	Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient	1	$13	$13	—	—	—	$13 – $13
24	Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient	1	$13	$13	—	—	—	$13 – $13
25	Navicent Health Baldwin Inc Milledgeville, GA fee schedule · both	2	$20	$20	—	—	—	$20 – $20

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← Payers reporting HCPCS S0013 · Snapshot 20261111T120946Z-9134e7f7

HCPCS S0013