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
$11
Average
$1.1k
Median
$56
High
$41.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 6.7× 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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41 hospital rates
iThe hospitals that file a Tricare 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 2 | $272 | $272 | — | — | — | $272 – $272 |
| 2 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 3 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $32.5k | $32.5k | — | — | — | $32.5k – $32.5k |
| 4 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 5 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 6 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 7 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 8 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 2 | $59 | $59 | $3 | 5% | — | $56 – $62 |
| 9 | Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient | 2 | $61 | $61 | $1 | 2% | — | $60 – $62 |
| 10 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 11 | Dardanelle Regional LLC dba Dardanelle Regional Medical Center Dardanelle, AR facility · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 12 | Hackettstown Medical Center Hackettstown, NJ fee schedule · outpatient | 2 | $61 | $61 | $1 | 2% | — | $60 – $62 |
| 13 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 14 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 15 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 16 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 17 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 18 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 19 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $220 | $220 | — | — | — | $220 – $220 |
| 20 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 21 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $249 | $249 | — | — | — | $249 – $249 |
| 22 | Mercy Hospital Columbus Columbus, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | $7 | 7% | — | $87 – $100 |
| 23 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 24 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 25 | Mercy Hospital Booneville Booneville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
← Payers reporting CPT 80336 · Snapshot 20261113T090226Z-3ce6c0b8