Spravato treatment centres in Germany — full list (27 centres, updated August 2026)

Germany has 27 registry-verified Spravato (esketamine) treatment centres — in Hamburg (2), Freiburg im Breisgau, Münster, Hannover and 22 more cities. Every centre is listed below with its access route, reimbursement note and the source it was verified against. Europe-wide picture: certified Spravato centres in Europe.

Certified centers administering esketamine nasal spray for treatment-resistant depression under medical supervision, usually within reimbursement programs.

Private-market model

Spravato®Registry-verified

Universitätsklinikum Freiburg — Klinik für Psychiatrie und Psychotherapie, Stimulations- und Schlaf-Unit (SSU)

Freiburg im Breisgau, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Universitätsklinikum Hamburg-Eppendorf (UKE) — Klinik für Psychiatrie und Psychotherapie, Spezialambulanz für Neuromodulation

Hamburg, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Universitätsklinikum Münster (UKM) — Klinik für Psychische Gesundheit

Münster, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Medizinische Hochschule Hannover (MHH) — Klinik für Psychiatrie, Sozialpsychiatrie und Psychotherapie, Spezialstation für Depression

Hannover, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

LVR-Klinikum Düsseldorf — Kliniken der Heinrich-Heine-Universität, Ambulanz für Esketamintherapie

Düsseldorf, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Klinikum Nürnberg — Klinik für Psychiatrie und Psychotherapie (Campus Nord)

Nürnberg, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Evangelisches Klinikum Bethel (EvKB), Universitätsklinik für Psychiatrie und Psychotherapie — Esketaminsprechstunde (PNA)

Bielefeld, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Karl-Jaspers-Klinik — Universitätsklinik für Psychiatrie und Psychotherapie

Bad Zwischenahn, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Alexianer St. Joseph-Krankenhaus Berlin-Weißensee — Stimulationszentrum der Institutsambulanz

Berlin, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Vitos Klinik Eichberg (Vitos Rheingau)

Eltville am Rhein, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

AMEOS Klinikum Neustadt — Psychiatrische Institutsambulanz (PIA)

Neustadt in Holstein, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

GFO Klinik Wissen (St. Antonius Krankenhaus) — Psychiatrische Institutsambulanz Wissen

Wissen, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

GFO Klinik Wissen (St. Antonius Krankenhaus) — Psychiatrische Institutsambulanz Kirchen

Kirchen (Sieg), Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Asklepios Fachklinikum Brandenburg — Tagesklinik für Erwachsene und Psychiatrische Institutsambulanz Brandenburg an der Havel

Brandenburg an der Havel, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Asklepios Fachklinikum Brandenburg — Tagesklinik Werder

Werder (Havel), Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Asklepios Fachklinikum Brandenburg — Tagesklinik Teltow

Teltow, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Klinikum Christophsbad — Klinik für Psychiatrie und Psychotherapie

Göppingen, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Evangelisches Krankenhaus Bergisch Gladbach (EVK) — Klinik für Psychiatrie, Psychotherapie und Psychosomatik

Bergisch Gladbach, Germany
Esketamine nasal spray (Spravato®)
Outpatient nasal esketamine listed under the Privatambulanz (private outpatient clinic); the department also runs a GKV PIA, confirm billing route with the clinic
Spravato®Registry-verified

Vincera Kliniken (private Akutkliniken für Psychosomatik und Psychiatrie)

Bad Waldsee, Germany
Esketamine nasal spray (Spravato®)
Private acute clinics for private insurance and self-payers; esketamine nasal spray named as an option subject to medical consultation and insurer cost coverage
Spravato®Registry-verified

Blomenburg Privatklinik Selent

Selent, Germany
Esketamine nasal spray (Spravato®)
Private acute psychiatric clinic for private insurance and self-payers
Spravato®Registry-verified

Blomenburg Private Tagesklinik & Ambulanz Hamburg

Hamburg, Germany
Esketamine nasal spray (Spravato®)
Private day clinic and outpatient unit for private insurance and self-payers
Spravato®Registry-verified

neurologie und psychiatrie im medicum — Dres. Dreimüller & Thümler

Wiesbaden, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Facharztpraxis Dr. med. Jochen Klinga — Esketamin-Ambulanz

Alzey, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Privatpraxis für Psychiatrie Vitali Livak — Standort München

München, Germany
Esketamine nasal spray (Spravato®)
Private psychiatric practice; Spravato treatment with structured in-practice monitoring
Spravato®Registry-verified

Praxis für Psychiatrie Vitali Livak — Standort Grafing bei München

Grafing bei München, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide (the Grafing site also sees statutory-insurance patients)
Spravato®Registry-verified

Psychiatrische Praxis Dr. med. Matthias Weber

Reichenbach im Vogtland, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; see country guide
Spravato®Registry-verified

Facharztpraxis für Psychiatrie und Psychotherapie Dr. med. univ. Lukas Leitner

Füssen, Germany
Esketamine nasal spray (Spravato®)
Covered by GKV for on-label TRD; practice page states all insurers cover esketamine within the approved indication

Costs and coverage in Germany

  • Published session priceslist price ~€345 per 28 mg device; a four-week self-pay induction can reach ~€8,000 before clinic fees
  • Public fundingYes (GKV)
    ≥2 failed antidepressants in the current moderate-to-severe episode
  • Worth knowingA nationwide Praxisbesonderheit keeps Spravato prescriptions out of the doctor's budget: 'we can't afford to prescribe it' is not a valid answer; office-based practices bill via GOP 01549 since 10/2023.
  • WhereHamburg (2), Freiburg im Breisgau, Münster, Hannover, Düsseldorf, Nürnberg, Bielefeld, Bad Zwischenahn, Berlin, Eltville am Rhein, Neustadt in Holstein, Wissen, Kirchen (Sieg), Brandenburg an der Havel, Werder (Havel), Teltow, Göppingen, Bergisch Gladbach, Bad Waldsee, Selent, Wiesbaden, Alzey, München, Grafing bei München, Reichenbach im Vogtland, Füssen
  • Access routespublic reimbursed (22), private pay (5)

Prices are published by providers themselves, no estimates. Full picture: the European Price Index and the reimbursement map.