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
$59
Average
$1.0k
Median
$661
High
$4.5k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 37.7× 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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26 hospital rates
iThe hospitals that file a MultiPlan 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $92 | $92 | $2 | 2% | — | $90 – $94 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | $2 | 2% | — | $90 – $94 |
| 3 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $60 | $60 | $5 | 9% | — | $55 – $66 |
| 4 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | $5 | 9% | — | $55 – $66 |
| 5 | Advocate Good Samaritan Hospital Downers Grove, IL percent of total billed charges · inpatientfrom % of charges | 1 | $59 | $59 | $7 | 11% | — | $52 – $66 |
| 6 | Advocate Good Samaritan Hospital Downers Grove, IL percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | $7 | 11% | — | $52 – $66 |
| 7 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · inpatientfrom % of charges | 1 | $60 | $60 | $5 | 9% | — | $55 – $66 |
| 8 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | $5 | 9% | — | $55 – $66 |
| 9 | Advocate South Suburban Hospital Hazel Crest, IL percent of total billed charges · inpatientfrom % of charges | 1 | $60 | $60 | $6 | 10% | — | $54 – $66 |
| 10 | Advocate South Suburban Hospital Hazel Crest, IL percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | $6 | 10% | — | $54 – $66 |
| 11 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · bothfrom % of charges | 1 | $926 | $1.7k | $1.9k | 116% | — | $32 – $4.7k |
| 12 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $661 | $661 | — | — | — | $661 – $661 |
| 13 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $661 | $661 | — | — | — | $661 – $661 |
| 14 | Ohio State University Hospitals Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $79 | $79 | $2 | 2% | — | $77 – $81 |
| 15 | Ohio State University Hospitals Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | $2 | 2% | — | $77 – $81 |
| 16 | Porter Hospital Inc Middlebury, VT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $4.5k | $3.2k | 71% | — | $952 – $8.6k |
| 17 | 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 |
| 18 | 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 |
| 19 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $2.5k | $2.5k | $506 | 20% | — | $2.0k – $3.0k |
| 20 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | $506 | 20% | — | $2.0k – $3.0k |
| 21 | University of Iowa Health Care Medical Center Iowa City, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | University of Iowa Health Care Medical Center Iowa City, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 23 | University of Iowa Health Care Medical Center Downtown Iowa City, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 24 | University of Iowa Health Care Medical Center Downtown Iowa City, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Westchester Medical Center Valhalla, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $661 | $661 | — | — | — | $661 – $661 |
← Payers reporting HCPCS S0013 · Snapshot 20261111T120946Z-9134e7f7