To the best of my knowledge, only one facility in my city offers Spravato. It has exceptionally bad reviews. Won't go near the place. Other offices my general area are difficult for me to get to. (I don't drive.) The private practices that offer Spravato are high end, don't accept Medicare and charge in the vicinity of $600USD cash just for an evaluation to determine if one is a candidate. I've given up any hope I had of getting Spravato.