3000506 — Sertraline (zoloft) 150 Mg Tablet
Cite this view
HANK Price Transparency. (n.d.). SERTRALINE (ZOLOFT) 150 MG TABLET (CDM 3000506) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3000506?code_type=CDM
“SERTRALINE (ZOLOFT) 150 MG TABLET (CDM 3000506) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3000506?code_type=CDM. Accessed .
“SERTRALINE (ZOLOFT) 150 MG TABLET (CDM 3000506) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3000506?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2–$10 (25th–75th percentile) across 5 hospitals · 31 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3000506 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | NovaSys Exchange | $0.64 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | NovaSys All Payor | $0.64 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | Network Access | $0.64 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Aetna Behavioral Health Medicare Advantage | Medicare Advantage | $1.03 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | BCBS HMO | HMO | $1.80 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | BCBS PPO | PPO | $1.80 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | True Blue PPO | True Blue PPO | $1.80 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | BCBS Preferred | Preferred | $1.80 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Humana Medicare | Medicare Advantage | $1.89 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Caresource Medicare Behavioral | Medicare Behavorial | $1.89 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Caresouce MarketPlace BH | All Products | $1.89 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Caresource Medicare | Medicare Advantage | $1.89 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Amerigroup Medicare Advantage | Medicare Advantage | $1.89 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Access Health SVCS ADV Medicare Advantage-Superior Select | Medicare Advantage | $1.89 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Supple,emental | Medicare Advantage | $1.89 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Cigna Medicare Advantage | Medicare Advantage | $1.89 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | BCBS MCR ADV | Health Advantage HMO | $1.89 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | Medicaid Passe | $1.95 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | AllWell | Medicare Advantage | $1.95 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | Medicare Advantage | $1.95 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Velocity National Provider Network | Workers Comp | $2.48 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL BothFacility | Velocity National Provider Network | Auto Liability | $2.48 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Velocity National Provider Network | Medicare Advantage | $2.48 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Velocity National Provider Network | Group Health | $2.48 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | United Behavorial Health | All Products | $2.70 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Provider Network of America PNOA | All Products | $2.83 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Municipal Health Benefits MHB | All Products | $3.15 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL BothFacility | Velocity National Provider Network | All Other | $3.15 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Multi Plan | All Products | $3.15 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Bardavon | All Products | $3.15 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Mercy Behavorial Health | All Products | $3.15 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL BothFacility | Corvel | All Products | $3.83 | $4.50 | $1.67 | 2024-12-26 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HUMANA CHOICECARE - ALL PLANS | HUMANA CHOICECARE - ALL PLANS | $5.10 | $15.00 | $15.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTH ALLIANCE MCARE | HEALTH ALLIANCE MCARE | $5.10 | $15.00 | $15.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTHLINK MCR ADV | HEALTHLINK MCR ADV | $5.10 | $15.00 | $15.00 | 2026-04-08 | MRF ↗ |
| KNOX COUNTY HOSPITAL Both | WellMed | Commercial | $6.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Both | Humana | Commercial | $6.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Both | Superior Health Plan | Commercial | $6.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Both | MultiPlan | Commercial | $6.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Both | Blue Cross Blue Shield of Texas | PPO | $7.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Both | Blue Cross Blue Shield of Texas | Blue Essentials | $7.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Both | Aetna | Commercial | $8.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Both | FirstCare | Commercial | $9.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | COVENTRY/GHP-ALL PLANS | COVENTRY/GHP-ALL PLANS | $9.75 | $15.00 | $15.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | AETNA HEALTH INC - ALL OTHER PLANS | AETNA HEALTH INC - ALL OTHER PLANS | $9.90 | $15.00 | $15.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | AETNA COVENTRY | AETNA COVENTRY | $10.35 | $15.00 | $15.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTHLINK HMO | HEALTHLINK HMO | $10.50 | $15.00 | $15.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $11.25 | $15.00 | $15.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTHLINK PPO - ALL OTHER PLANS | HEALTHLINK PPO - ALL OTHER PLANS | $12.00 | $15.00 | $15.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTH ALLIANCE - ALL OTHER PLANS | HEALTH ALLIANCE - ALL OTHER PLANS | $12.39 | $15.00 | $15.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | UNITED HEALTHCARE - ALL PLANS | UNITED HEALTHCARE - ALL PLANS | $12.45 | $15.00 | $15.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | BCBS ILLINOIS - ALL PLANS | BCBS ILLINOIS - ALL PLANS | $12.60 | $15.00 | $15.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $12.75 | $15.00 | $15.00 | 2026-04-08 | MRF ↗ |
| FOREST HEALTH MEDICAL CENTER Both | None | — | — | $13.35 | — | 2026-02-26 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Aetna | Commercial | $12,315.00 | $31,577.00 | $18,946.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Superior Health Plan | HMO | $18,630.00 | $31,577.00 | $18,946.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Superior Health Plan | PPO | $18,630.00 | $31,577.00 | $18,946.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Blue Cross Blue Shield of Texas | Blue Essentials | $25,262.00 | $31,577.00 | $18,946.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Blue Cross Blue Shield of Texas | HMO | $25,262.00 | $31,577.00 | $18,946.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Blue Cross Blue Shield of Texas | Commercial | $25,262.00 | $31,577.00 | $18,946.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Superior Health Plan | Commercial | $31,577.00 | $31,577.00 | $18,946.00 | 2026-05-22 | MRF ↗ |