Tricyclic antidepressant drug level test at Medical City Plano

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

Antidepressants, tricyclic and other cyclicals; 3-5

Plano, TX

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How this price compares nationally

Medical City Plano’s median price of $18 is 22% below the median hospital's median price ($23), higher than 39% 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 Medical City Plano

Negotiated rates from the hospital’s own file: 6 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 qhphix fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	Aetna comm fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Aetna meritain fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
4	Aetna newbusiness fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
5	Aetna oon fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
6	UnitedHealthcare chip fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
7	UnitedHealthcare star fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
8	UnitedHealthcare starkids fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
9	UnitedHealthcare starperinate fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
10	UnitedHealthcare starplus fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
11	Cigna Healthspring mgmcd fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
12	Aetna Better Health chip fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
13	Aetna Better Health mcd fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
14	Molina chip fee schedule · outpatient	$19	$19	$0	1%	—	$19 – $19
15	Molina mcdstar fee schedule · outpatient	$19	$19	$0	1%	—	$19 – $19
16	Molina star+plus fee schedule · outpatient	$19	$19	$0	1%	—	$19 – $19
17	Molina starkids fee schedule · outpatient	$19	$19	$0	1%	—	$19 – $19
18	Humana mgmcd fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
19	Humana comm fee schedule · outpatient	$170	$170	—	—	—	$170 – $170

Last updated: Mar 1, 2026

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