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.
Original text from hospital filings
SPRAVATO 84 MG (28 MG X 3) NASAL SPRAY
Eureka, IL
See all hospitals reporting HCPCS J0013 →Price type
Carle Eureka Hospital’s median price of $1.8k is 5593% above the median hospital's median price ($32), higher than 95% of the 364 hospitals reporting HCPCS J0013. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $801 | $801 | $327 | 41% | — | $400 – $1.2k |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $801 | $801 | $327 | 41% | — | $400 – $1.2k |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $801 | $801 | $327 | 41% | — | $400 – $1.2k |
| 4 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $736 | 41% | — | $901 – $2.7k |
| 5 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $736 | 41% | — | $901 – $2.7k |
| 6 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $736 | 41% | — | $901 – $2.7k |
| 7 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $736 | 41% | — | $901 – $2.7k |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | $785 | 41% | — | $961 – $2.9k |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | $1.0k | 41% | — | $1.2k – $3.7k |
| 10 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | $1.0k | 41% | — | $1.2k – $3.7k |
| 11 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | $1.0k | 41% | — | $1.2k – $3.7k |
| 12 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.6k | $1.1k | 41% | — | $1.3k – $4.0k |
| 13 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | $1.1k | 41% | — | $1.3k – $4.0k |
| 14 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | $1.1k | 41% | — | $1.3k – $4.0k |
| 15 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | $1.2k | 41% | — | $1.5k – $4.5k |
| 16 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | $1.4k | 41% | — | $1.7k – $5.0k |
Last updated: Apr 15, 2026
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