Twelve Spravato (esketamine) treatment centers compared by state, certification, insurance and the cost each publishes on its own site.
The best Spravato clinics near me, for most readers, are REMS-certified treatment centers in their own state that accept their insurance and give a cost estimate before the first dose. We compared what 12 Spravato clinics publish on their own sites about locations, certification, insurance and self-pay prices.
Spravato (esketamine) is a nasal spray approved by the Food and Drug Administration (FDA) for adults with treatment-resistant depression. It is also approved for depressive symptoms in adults with major depressive disorder who have acute suicidal ideation or behavior. Because it is given only in certified settings under a healthcare provider's supervision, every dose happens at the clinic you pick. For background on ketamine, see the ketamine guide.
The table lists 12 Spravato treatment centers without ranking them. Each clinic's coverage area, insurance notes and best-fit patient come from that clinic's own site.
| Company | Pricing | Best for | Details |
|---|---|---|---|
FeaturedYour company here, pinned above every listingGet featured → | |||
| LifeStance Health | Not published; benefits check before treatment | Insured patients in 16 states | Outpatient mental health provider offering Spravato therapy at multiple locations across 16 states, with a benefits investigation before treatment. |
| American Behavioral Clinics | Not published; accepts major insurance | Wisconsin patients wanting psychiatry plus Spravato | Wisconsin psychiatry group offering Spravato at Milwaukee, Madison-area and southeast Wisconsin clinics; says it is REMS certified. |
| Active Path | Not published; says most insurance covers it | Oregon and Washington patients with insurance | Mental health clinics in Clackamas, Portland, Salem, Tigard, Kirkland and Vancouver offering Spravato under medical supervision. |
| Athena Care | Not published; accepts most major insurance | Tennessee patients with insurance | Interventional psychiatry practice calling itself a certified Spravato provider, with Tennessee clinics in Nashville, Memphis, Knoxville, Franklin and elsewhere. |
| Zen Psychiatric Services | Not published; most commercial insurance accepted | Western North Carolina patients with a referral | Psychiatry practice in Arden, Mooresville and Morganton, North Carolina; states it is a certified Spravato REMS treatment facility. |
| Phoenix Mental Health | Not published; accepts commercial plans and Medicare | San Antonio or Seattle patients with insurance | Mental health clinics in San Antonio, Texas and Seattle, Washington offering Spravato treatment. |
| Stella | Self-pay not published; copay as low as $10 | Insured patients in CA, IL, MA or UT | Mental health provider offering Spravato at clinics in California, Illinois, Massachusetts and Utah. |
| New Pathways Clinic | Not published; Medicaid patients owe $0 if approved | Ohio patients with insurance | Ohio clinics in Cleveland, Columbus, Cincinnati and the Toledo area offering Spravato and ketamine treatments. |
| Ascend Health Center | Not published; insurance-covered treatment | Akron-area patients with insurance | Akron, Ohio clinic offering Spravato, which it says it has provided for over three years. |
| Relief Mental Health | Not published; savings program as low as $10 | Midwest, New Jersey and Denver patients | Mental health practice that states it is a REMS-certified Spravato provider, with offices in Illinois, Wisconsin, New Jersey and Colorado. |
| Mind Therapy Clinic | Not published; out-of-network, pay directly | Bay Area patients paying out-of-network | Approved Spravato center in Corte Madera (Marin) and San Francisco, California; out-of-network, with reimbursement left to the patient. |
| Spravato Treatment Centers of New Jersey | $0 to $40 per treatment | New Jersey patients with insurance | PremierMD group with four New Jersey offices in Bridgewater, Morristown, Hoboken and Nutley, all REMS-certified Spravato centers. |
Pricing is as each company publishes it. Confirm current terms before you sign up. Listed here? Update your listing.
Choose a Spravato treatment center in three steps: find a certified clinic near you, get a benefits check, then compare what each clinic publishes about cost.
Distance matters because every dose happens in the office, followed by at least two hours of observation. Pick a Spravato provider you can reach for each dose without strain on your schedule.
If you are still weighing Spravato against other options, use the depression treatment path tool before you book a consultation.
Compare Spravato clinics on six published details: REMS status, insurance and prior authorization, self-pay price, savings-program copays, location, and who prescribes.
Stella and Ascend Health Center publish outcome percentages for their own patients. Those figures are left out here because neither clinic cites a source for them.
A Spravato visit means taking the nasal spray at a certified treatment center under a healthcare provider's supervision, then staying for at least two hours of observation.
You cannot take Spravato home. The REMS program restricts it to certified settings, and Active Path says it administers Spravato only in certified clinics.
Book appointment times that leave the full two-hour observation window clear. The label also states it is not known whether Spravato is safe and effective for preventing suicide, so bring questions about your own history to the prescriber at the first consultation.
Your insurance type and your state narrow the 12 clinics to a short list for each situation.
These picks do not serve anyone outside the states listed. If no Spravato clinic near you appears here, use the ketamine provider finder to search your state. They also do not fit anyone who wants to dose at home, because Spravato is clinic-only.
These picks would change if a clinic published a self-pay price, a REMS statement, or a new Medicaid or Medicare rate on its own site.
Spravato and compounded at-home ketamine are different products. Spravato is an FDA-approved nasal spray given only at certified treatment centers, while compounded at-home ketamine is not FDA-approved. Read Spravato vs ketamine for a side-by-side comparison, or online ketamine therapy providers compared for at-home programs.
For in-person ketamine, see in-person ketamine clinics compared, and for plan rules see the ketamine insurance coverage guide. To start, pick two Spravato clinics near you from the table and ask each one for a benefits check before you book a first dose.
A Spravato REMS treatment center is a certified setting where a healthcare provider gives Spravato and supervises you afterward. Spravato is available only through the restricted REMS program, so you cannot take it home. Zen Psychiatric Services, Relief Mental Health and American Behavioral Clinics are among the clinics in this comparison that state they are REMS certified.
Coverage varies by plan. Most clinics in this comparison say they work with insurance and run a benefits check or prior authorization. Spravato Treatment Centers of New Jersey says most plans cover Spravato with prior authorization, and Active Path says most insurance covers it.
No. Spravato is administered in a certified treatment setting under a healthcare provider's supervision and cannot be taken home. Compounded at-home ketamine is a separate product that is not FDA-approved.
Plan for at least two hours after each dose, because the Spravato label requires at least two hours of observation in the office. The clinics in this comparison do not publish a total visit length beyond that observation period.
Spravato Treatment Centers of New Jersey publishes a self-pay price of $40 per session. The other 11 clinics in this comparison do not publish a self-pay price. Mind Therapy Clinic is out-of-network, so patients pay directly and may seek reimbursement from their plan.
It is not known. The Spravato label states it is not known whether Spravato is safe and effective for preventing suicide. Spravato is approved for depressive symptoms in adults with major depressive disorder with acute suicidal ideation or behavior, which is a different claim.
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