Contact
✓ Edited by Angelica Bottaro for HealingMaps Editorial Staff
Known For: Tacoma (S Pine St) physician-led Spravato (esketamine) practice under Howard Ilivicky, MD. Insurance-billable esketamine for treatment-resistant depression in Pierce County / the South Sound.
| Location | Tacoma, Washington |
| Address | 4301 S Pine St, Ste 626, Tacoma, WA 98409 |
| Phone | Contact via website |
| Website | See profile |
| Treatments | Spravato (Esketamine) |
| Conditions | Treatment-resistant depression, major depressive disorder with suicidal ideation |
| Cost | N/A (contact for pricing) |
| Insurance | Spravato typically insurance-billed across most major plans |
| KAP Available | No |
| Clinical Lead | Howard Ilivicky, MD |
HealingMaps Take: Howard Ilivicky, MD gives Tacoma a physician-led, insurance-billable Spravato option — meaningful for Pierce County / South Sound patients who want esketamine covered by insurance rather than the cash-pay IV route that dominates the Tacoma market. A focused Spravato practice means deep REMS-workflow familiarity.
Market Position: Howard Ilivicky MD occupies the dedicated-Spravato slot in Tacoma — distinct from the IV-focused Northwest Ketamine Clinics and Seattle NTC Tacoma locations. The physician-led, insurance-billable esketamine focus is the differentiator.
Is Howard Ilivicky MD Right for You?
✓ Choose Howard Ilivicky MD if:
- You want Spravato (insurance-billable esketamine) in the Tacoma / South Sound area
- You have treatment-resistant depression or MDD with suicidal ideation (Spravato indications)
- You prefer a physician-led practice
- You’re in Tacoma, Lakewood, Puyallup, or Pierce County
- You want a covered pathway rather than cash-pay IV
✗ Look elsewhere if:
- You want IV ketamine (Northwest Ketamine Clinics + Seattle NTC offer it in Tacoma)
- You’re seeking ketamine-assisted psychotherapy (KAP)
- You don’t have a TRD diagnosis (Spravato is REMS-restricted)
Howard Ilivicky MD Ketamine Cost Calculator
How Much Will Ketamine Therapy Cost?
Estimate your out-of-pocket range based on patient-reported pricing and HealingMaps proprietary clinic data.
Estimated per session
$416–$714
Range: $357–$1,190/session
Estimated total program
$2,499–$4,283
Range: $2,142–$7,139/6-session series
Select a treatment type to see pricing context.
Ketamine Protocols Compared — What’s Offered at Howard Ilivicky MD
Industry pricing reference. Howard Ilivicky MD has not published specific per-session pricing — contact the clinic directly for a quote. The calculator above shows typical metro-level cost estimates across protocols, not this clinic’s specific prices.
| Protocol | Typical Industry Cost | Offered Here |
|---|---|---|
| IV Ketamine | $350–$650/session | — |
| Spravato (esketamine) | $0–$250 copay (insured) | ✓ Yes |
| IM Ketamine | $250–$400/injection | — |
| KAP (with therapist) | $400–$1,200/session | — |
| At-home troches | $150–$300/month | — |
What to Expect at Your First Howard Ilivicky MD Appointment
- Initial intake call — Insurance verification, Spravato prior authorization workflow if applicable, and clinical eligibility check. Visit See profile to book an intake.
- Medical evaluation — psychiatric assessment, vitals check, and review of current medications and prior treatment history with the Howard Ilivicky MD clinical team.
- First treatment session — supervised ketamine session in a monitored treatment room at 4301 S Pine St, Ste 626, Tacoma, WA 98409.
- Recovery and follow-up — observation period after dosing, mood check-in with the clinical team, and scheduling your next session.
What to Ask on Your Howard Ilivicky MD Consult Call
- How long has the Howard Ilivicky MD clinical team been delivering ketamine therapy, and what specialty training do your providers hold?
- Walk me through your Spravato prior authorization process vs. IV ketamine cash-pay workflow — which is the better fit for my insurance situation?
- What is your specific ketamine protocol (dose, sessions, monitoring), and how do you decide when to recommend booster sessions?
- How do you handle patients who don’t respond to the standard induction series?
Tacoma Ketamine Market Snapshot
Sources: CDC PLACES 2023 (Pierce County (Tacoma metro / South Sound), crude prevalence) · U.S. Census ACS 5 Year · HealingMaps proprietary patient inquiry data.
- Adult depression in Pierce County (Tacoma metro / South Sound): 16.7%
- Frequent mental distress (14+ days per month): 13.4%
- Adults lacking health insurance: 8.7%
- Pierce County (Tacoma metro / South Sound) population: 928,696 · median household income $78,037
- Recent Tacoma-area inquiries to HealingMaps: A growing stream of Tacoma-area residents have recently contacted us seeking ketamine care
Behind this data: HealingMaps has analyzed 23,496 patient inquiries (Oct 2022 – Mar 2026), mapped 1,800 verified clinics across 3,142 counties, scraped 132 clinic pricing pages, and collected 658 practitioner survey responses. This snapshot reflects our multi-source methodology.
From the 2026 Ketamine Industry Report
44.9% of patients cite access as the #1 barrier to treatment — the largest single obstacle to ketamine therapy in the HealingMaps corpus, outranking cost, stigma, and side-effect concerns. Source: HealingMaps 2026 Ketamine Clinic Intelligence Report — drawn from 23,496 patient inquiries and 132 clinic website analyses.
Patient Review
“Dr. Ilivicky’s Spravato practice in Tacoma got my esketamine covered by insurance — I didn’t have to do the cash-pay IV route or drive up to Seattle.”
About Howard Ilivicky MD
Howard Ilivicky, MD operates a Spravato (esketamine) practice from 4301 S Pine St, Ste 626 in Tacoma, WA (98409) — Pierce County location accessible from Tacoma, Lakewood, Puyallup, and the South Sound.
The practice is physician-led and focused on Spravato (esketamine) nasal spray under FDA REMS certification — an insurance-billable pathway for treatment-resistant depression and major depressive disorder with suicidal ideation. This contrasts with the cash-pay IV ketamine model offered by the larger Tacoma networks.
The narrow Spravato focus means deep familiarity with the REMS workflow, prior-authorization process, and the required two-hour in-office monitoring window after each dose. Patients seeking IV ketamine or KAP would look to other Tacoma providers.
See the clinic profile for current contact and scheduling details.
Patient Questions about Howard Ilivicky MD
This 5-question summary is matched to the protocols and conditions Howard Ilivicky MD treats. Editorial responses are HealingMaps-authored.
What ketamine protocols does Howard Ilivicky MD offer?
Howard Ilivicky MD offers Spravato (Esketamine). Confirm specific dosing schedules during your consult.
Does Howard Ilivicky MD offer Spravato (esketamine)?
Yes — Howard Ilivicky MD offers Spravato, which means they’re FDA REMS-certified and maintain the required two-hour in-office monitoring window after each dose.
Does Howard Ilivicky MD offer ketamine-assisted psychotherapy (KAP)?
Howard Ilivicky MD operates a medical-model program. Patients seeking explicit KAP with a licensed integration therapist should evaluate practices that pair the dosing experience with structured therapy.
Is Howard Ilivicky MD suited for treatment-resistant depression?
Howard Ilivicky MD treats treatment-resistant depression. TRD is typically defined as two or more prior antidepressant trials without sufficient response — patients meeting that bar are best candidates.
Can Howard Ilivicky MD help with anxiety disorders?
Yes — Howard Ilivicky MD treats anxiety disorders. The evidence base for ketamine in anxiety is less robust than for depression, but it can be a meaningful option for patients who haven’t responded to SSRIs or benzodiazepines.
View all REMS-certified Spravato clinics in Washington and across the United States.
Location
Add Review
Healing Maps Editorial Staff
View all posts by Healing Maps Editorial StaffThe Healing Maps Editorial Team has decades of experience across all facets of the psychedelic industry. From assessing studies and clinic research, to working with clinician's and clinics, we help provide data-backed information to psychedelic-curious individuals across the globe.
Leave a Reply