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
$87
Median
$40
High
$2.0k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
56 hospitals; the 90th percentile is 18.3× 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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57 hospital rates
iThe hospitals that file a WellCare 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 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 3 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 4 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 5 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 6 | Benefis Senior Services Great Falls, MT fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 7 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 8 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 2 | $66 | $66 | $1 | 1% | — | $65 – $66 |
| 9 | Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient | 2 | $66 | $66 | $1 | 1% | — | $65 – $66 |
| 10 | Deaconess Illinois Red Bud Regional Hospital Inc Red Bud, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $164 | $164 | — | — | — | $164 – $164 |
| 11 | FAIRVIEW PARK HOSPITAL DUBLIN, GA percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 12 | Greeneville Community Hospital GREENEVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 13 | Hackettstown Medical Center Hackettstown, NJ fee schedule · outpatient | 2 | $66 | $66 | $1 | 1% | — | $65 – $66 |
| 14 | Hancock County Hospital SNEEDVILLE, TN percent of total billed charges · bothfrom % of charges | 2 | $49 | $49 | $8 | 17% | — | $40 – $57 |
| 15 | Hawkins County Memorial Hospital ROGERSVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 16 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 17 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 18 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 19 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 20 | Holston Valley Medical Center KINGSPORT, TN percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 21 | Hoopeston Community Memorial Hospital Hoopeston, IL per diem · inpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 22 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 23 | Hospital Authority of Miller County Colquitt, GA facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 24 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 25 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
← Payers reporting CPT 80336 · Snapshot 20261113T090226Z-3ce6c0b8