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
$1
Average
$195
Median
$20
High
$3.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
153 hospitals; the 90th percentile is 34.0× 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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194 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $20 | $19 | $1 | 3% | — | $19 – $20 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 3 | $20 | $19 | $1 | 3% | — | $19 – $20 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $51 | $51 | $15 | 29% | — | $36 – $67 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $39 | $40 | $10 | 25% | — | $29 – $50 |
| 6 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 7 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $37 | $39 | $11 | 29% | — | $24 – $57 |
| 8 | Advocate Good Samaritan Hospital Downers Grove, IL percent of total billed charges · outpatientfrom % of charges | 2 | $36 | $38 | $11 | 30% | — | $23 – $57 |
| 9 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 2 | $37 | $39 | $11 | 29% | — | $24 – $57 |
| 10 | Advocate South Suburban Hospital Hazel Crest, IL percent of total billed charges · outpatientfrom % of charges | 2 | $37 | $38 | $11 | 29% | — | $24 – $57 |
| 11 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 12 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 13 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL percent of total billed charges · bothfrom % of charges | 6 | $21 | $21 | $6 | 31% | — | $9 – $30 |
| 14 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $76 | $76 | — | — | — | $76 – $76 |
| 15 | BETHESDA HOSPITAL BOYNTON BEACH, FL percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 16 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 17 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 18 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 3 | $20 | $19 | $1 | 3% | — | $19 – $20 |
| 19 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 3 | $20 | $19 | $1 | 3% | — | $19 – $20 |
| 20 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 21 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 24 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 25 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
← Payers reporting HCPCS S0013 · Snapshot 20261111T120946Z-9134e7f7