Tricyclic antidepressant drug level test at Boulder Community Health

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC ANTIDEP TRICYCLIC/CYCLICALS 3-5 TRICYCLIC ANTIDEP - BUNDLED CHARGE

Boulder, CO

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How this price compares nationally

Boulder Community Health’s median price of $174 is 648% above the median hospital's median price ($23), higher than 93% of the 974 hospitals reporting CPT 80336. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 80336 at Boulder Community Health

Negotiated rates from the hospital’s own file: 7 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Aetna medicare advantage professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
2	Aetna commercial professional · fee schedule · both	$0	$0	$0	50%	—	$0 – $0
3	Anthem commercial professional · fee schedule · both	$12	$12	—	—	—	$12 – $12
4	Anthem managed care professional · fee schedule · both	$12	$12	—	—	—	$12 – $12
5	Humana medicare advantage professional · fee schedule · both	$20	$20	—	—	—	$20 – $20
6	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$77	$89	$27	30%	—	$61 – $148
7	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$94	$94	—	—	—	$94 – $94
8	Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
9	Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
10	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
11	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$71	$108	$65	60%	—	$55 – $199
12	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$130	$130	$31	24%	—	$98 – $161
13	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$143	$143	—	—	—	$143 – $143
14	MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges	$172	$172	—	—	—	$172 – $172
15	Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges	$172	$172	—	—	—	$172 – $172
16	MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges	$174	$174	—	—	—	$174 – $174
17	Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges	$174	$174	—	—	—	$174 – $174
18	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$199	$199	—	—	—	$199 – $199
19	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$217	$217	—	—	—	$217 – $217

Last updated: Sep 16, 2026

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