CPT 80174
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Assay of imipramine
Low
$1
Average
$3.1k
Median
$77
High
$33.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 258.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 30 | $99 | $126 | $60 | 48% | — | $39 – $271 |
| 2 | Aetna fee schedule · outpatient · +11 other terms | 22 | $115 | $103 | $39 | 38% | — | $19 – $129 |
| 3 | Cigna fee schedule · outpatient · +9 other terms | 11 | $38 | $71 | $63 | 88% | — | $12 – $186 |
| 4 | Humana fee schedule · outpatient · +5 other terms | 7 | $51 | $72 | $54 | 75% | — | $45 – $203 |
| 5 | First Health fee schedule · both · +5 other terms | 5 | $20 | $20 | $2 | 8% | — | $18 – $21 |
| 6 | Excellus facility · fee schedule · outpatient | 3 | $15 | $130 | $115 | 88% | — | $15 – $245 |
| 7 | UnitedHealthcare facility · fee schedule · outpatient · +11 other terms | 3 | $53 | $58 | $77 | 132% | — | $22 – $245 |
| 8 | Aetna Better Health fee schedule · inpatient | 2 | $52 | $52 | — | — | — | $52 – $52 |
| 9 | Bcbs Ks percent of total billed charges · outpatientfrom % of charges | 2 | $38 | $38 | — | — | — | $38 – $38 |
| 10 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 2 | $52 | $49 | $6 | 12% | — | $40 – $57 |
← Hospitals reporting CPT 80174 · Snapshot 20261113T090226Z-3ce6c0b8