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
"ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS, 3-5 , IMIPRAMINE"
Low
$0
Average
$51
Median
$38
High
$537
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 5.0× 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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56 hospital rates
iThe hospitals that file a Ambetter 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 | Ascension Cedar Park Park, TX fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 3 | Ascension Seton Austin, TX fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 5 | Ascension Seton Austin, TX fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 6 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Ascension Seton Austin, TX fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 8 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Ascension Seton Luling, TX fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 10 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 11 | Ascension Seton Burnet, TX fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 12 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 13 | Ascension Seton Smithville, TX fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 14 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 15 | Ascension Seton Bastrop, TX fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 16 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 17 | Ascension Seton Austin, TX fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 18 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 19 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 20 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 21 | Dardanelle Regional LLC dba Dardanelle Regional Medical Center Dardanelle, AR facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 22 | FAIRVIEW PARK HOSPITAL DUBLIN, GA percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 23 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 3 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 24 | Hancock County Hospital SNEEDVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 25 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
← Payers reporting CPT 80336 · Snapshot 20261113T090226Z-3ce6c0b8