HCPCS S0013
Esketamine, nasal spray, 1 mg
Retired code18 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| Kadlec Regional Medical Center | $17.47 | — | — |
| Mary Bridge Children's Hospital | $355 – $400 | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Overlake Hospital Medical Center & Clinics | $26.17 – $152 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $14.45 | — | — |
| Providence Holy Family Hospital | $14.45 | — | — |
| Providence Regional Medical Center Everett | $14.45 | — | — |
| Swedish Edmonds Hospital | $14.45 | — | — |
| Swedish Issaquah | $14.45 | — | — |
| Swedish Medical Center | $14.45 | — | — |
| Swedish Medical Center / Cherry Hill | $14.45 | — | — |
| Tacoma General Allenmore Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.