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
$3
Average
$29
Median
$19
High
$164
Each hospital's average Molina rate, under the methodology and billing class chosen below.
174 hospitals; the 90th percentile is 8.6× 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.
Filter by billing methodology
Filter by billing class
188 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 2 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Ascension Providence Waco, TX fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 4 | Ascension Providence Waco, TX fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 5 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 6 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 7 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 3 | $57 | $74 | $23 | 31% | — | $57 – $106 |
| 8 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 3 | $56 | $72 | $22 | 31% | — | $56 – $103 |
| 9 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 3 | $56 | $72 | $22 | 31% | — | $56 – $103 |
| 10 | Baptist Memorial Hospital-Collierville Collierville, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 11 | Baptist Memorial Hospital-Collierville Collierville, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $161 | $161 | — | — | — | $161 – $161 |
| 12 | Baptist Memorial Hospital-Memphis Memphis, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 13 | Baptist Memorial Hospital-Memphis Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $161 | $161 | — | — | — | $161 – $161 |
| 14 | Baptist Memorial Hospital-Tipton Covington, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 15 | Baptist Memorial Hospital-Tipton Covington, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $79 | $79 | — | — | — | $79 – $79 |
| 16 | Baptist Memorial Hospital-Women's Memphis, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 17 | Baptist Memorial Hospital-Women's Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $161 | $161 | — | — | — | $161 – $161 |
| 18 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 19 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 20 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 3 | $21 | $21 | — | — | — | $21 – $21 |
| 21 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 4 | $21 | $21 | — | — | — | $21 – $21 |
| 22 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 3 | $21 | $21 | — | — | — | $21 – $21 |
| 23 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 3 | $21 | $21 | — | — | — | $21 – $21 |
| 24 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 25 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
← Payers reporting CPT 80336 · Snapshot 20261113T090226Z-3ce6c0b8