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
80333 ANTIDEPRESSANTS LEVELS
Low
$16
Average
$126
Median
$146
High
$514
Each hospital's average Premera rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 7.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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17 hospital rates
iThe hospitals that file a Premera rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 4 | $146 | $146 | — | — | — | $146 – $146 |
| 2 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 4 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 6 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 4 | $146 | $146 | — | — | — | $146 – $146 |
| 7 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · fee schedule · both | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 8 | MultiCare Auburn Medical Center Auburn, WA percent of total billed charges · outpatientfrom % of charges | 4 | $146 | $146 | — | — | — | $146 – $146 |
| 9 | MultiCare Capital Medical Center Lacey, WA percent of total billed charges · outpatientfrom % of charges | 4 | $146 | $146 | — | — | — | $146 – $146 |
| 10 | MultiCare Covington Medical Center Covington, WA percent of total billed charges · outpatientfrom % of charges | 4 | $146 | $146 | — | — | — | $146 – $146 |
| 11 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 12 | St Mary Medical Center Langhorne, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 13 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $29 | $28 | $1 | 2% | — | $28 – $29 |
| 14 | St. Francis Hospital Inc Wilmington, DE facility · fee schedule · both | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 15 | Sunnyview Rehab Hospital Schenectady, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 16 | Tacoma General Allenmore Hospital Bremerton, WA percent of total billed charges · outpatientfrom % of charges | 4 | $146 | $146 | — | — | — | $146 – $146 |
| 17 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $208 | $208 | — | — | — | $208 – $208 |
← Payers reporting CPT 80333 · Snapshot 20261113T090226Z-3ce6c0b8