Drug test for serotonergic antidepressants, 3-5 drugs

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

80333 ANTIDEPRESSANTS LEVELS

Medicaid pricing summary

Low

Average

$27

Median

$27

High

$152

Medicaid rate distribution

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39 hospital rates

#		Plans
1	BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both	2	$8	$8	$0	5%	—	$7 – $8
2	BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both	2	$8	$8	$0	5%	—	$7 – $8
3	Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient	2	$1	$1	—	—	—	$1 – $1
4	Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient	2	$1	$1	—	—	—	$1 – $1
5	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$7	$7	—	—	—	$7 – $7
6	DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both	2	$7	$7	$0	5%	—	$7 – $8
7	FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both	2	$7	$7	$0	5%	—	$7 – $8
8	HOMESTEAD HOSPITAL Homestead, FL fee schedule · both	2	$7	$7	$0	5%	—	$7 – $8
9	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient	1	$7	$7	—	—	—	$7 – $7
10	Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges	1	$32	$32	—	—	—	$32 – $32
11	Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges	1	$70	$70	—	—	—	$70 – $70
12	MARINERS HOSPITAL TAVERNIER, FL fee schedule · both	2	$7	$7	$0	5%	—	$7 – $8
13	MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges	1	$70	$70	—	—	—	$70 – $70
14	Mercy Hospital Columbus Columbus, KS facility · fee schedule · outpatient	1	$66	$66	—	—	—	$66 – $66
15	Mercy Hospital Aurora Aurora, MO facility · fee schedule · outpatient	1	$27	$27	—	—	—	$27 – $27
16	Mercy Hospital Berryville Berryville, AR facility · fee schedule · outpatient	1	$27	$27	—	—	—	$27 – $27
17	Mercy Hospital Booneville Booneville, AR facility · fee schedule · outpatient	1	$27	$27	—	—	—	$27 – $27
18	Mercy Hospital Cassville Knob, MO facility · fee schedule · outpatient	1	$27	$27	—	—	—	$27 – $27
19	Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient	1	$27	$27	—	—	—	$27 – $27
20	Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient	1	$27	$27	—	—	—	$27 – $27
21	Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$27	$27	—	—	—	$27 – $27
22	Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · fee schedule · outpatient	1	$27	$27	—	—	—	$27 – $27
23	Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$23	$23	—	—	—	$23 – $23
24	Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient	1	$27	$27	—	—	—	$27 – $27
25	Mercy Hospital Ozark Ozark, AR facility · fee schedule · outpatient	1	$27	$27	—	—	—	$27 – $27