Every verified Spravato clinic in Texas.

Is Spravato covered by insurance in Texas?

Yes. Spravato (esketamine) is the only FDA-approved psychedelic-adjacent therapy with broad private-insurance and Medicare coverage. All 37 clinics listed here can bill commercial insurance, Medicare, and most can bill Texas Medicaid for patients who qualify. Pre-authorization is typically required and is handled by the clinic. Out-of-pocket cost per session after coverage is usually $10 to $100 depending on plan.

How much does Spravato cost without insurance in Texas?

List price for the drug itself runs around $600 to $900 per treatment session, paid directly to the specialty pharmacy. The clinic separately bills for the required 2-hour monitoring visit, typically $150 to $300. A full induction course (8 sessions over 4 weeks) generally totals $6,000 to $10,000 in cash pricing, followed by maintenance dosing every 1-2 weeks. Most patients only pursue Spravato through insurance because the economics without coverage are prohibitive.

What's the difference between Spravato and IV ketamine?

Spravato is FDA-approved, standardized in dose, covered by insurance, and delivered via nasal spray under REMS monitoring. IV ketamine is off-label, dosed by body weight, paid out of pocket in most cases, and delivered via infusion over 40 minutes. Spravato is the insurance-friendly path; IV ketamine is generally considered more potent but costs $400 to $800 per session out of pocket. Several clinics on this list offer both.

How are these clinics verified?

Every clinic listed here is cross-checked against the FDA Spravato REMS registry before publication. Spravato can only be administered at REMS-certified sites - the FDA maintains a public list of every certified clinic in the country. We re-verify on a rolling 90-day cycle. If a clinic's REMS certification lapses, surrenders, or is subject to action, it is removed within 7 days. NPI numbers and state medical licenses are cross-referenced separately.

Do I need a referral for Spravato in Texas?

No. Texas does not require a physician referral to start a Spravato evaluation. You can self-refer directly to any REMS-certified clinic on this list. The clinic will conduct its own psychiatric intake and confirm Spravato is appropriate for you. Most clinics on this list handle the prior authorization paperwork for insurance internally.

What conditions is Spravato approved to treat?

Spravato is FDA-approved for two conditions: treatment-resistant depression (TRD) in adults who have failed 2 or more antidepressants, and major depressive disorder with acute suicidal ideation or behavior. It is not first-line treatment for depression - clinics will confirm your treatment history before starting. Some clinics on this list also offer off-label ketamine IV for anxiety, PTSD, OCD and chronic pain.

Which Texas metros have the most Spravato coverage?

DFW has the deepest network with 13 verified sites across Dallas, Plano, Frisco, McKinney, Allen, Fairview, Bedford and Denton. Houston has 9 sites including Baytown, Katy and East Bernard. San Antonio has 5 including New Braunfels. Austin has 4. Rural and regional Texas has 4 (Amarillo, El Paso, Lubbock, Sherman). If you are outside these metros, the closest clinic may be a 2-3 hour drive and a telehealth-only program like Mindbloom or Wondermed may be a better fit.