Amitriptyline (elavil) -sendout at ADVENTIST HEALTH TULARE

869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711

Source: hospital's published price file ↗ · Published May 22, 2026 · Ingested Sep 16, 2026

$32.68

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$172.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.07 with AETNA-ALL PLANS vs $279.43 with BLUE CROSS NON MCS - ALL OTHER PLANS — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
AETNA-ALL PLANS AETNA-ALL PLANS $0.07 ↓ -100%
BLUE SHIELD EPN BLUE SHIELD EPN $3.09 ↓ -91%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $4.27 ↓ -87%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $4.50 ↓ -86%
CIGNA-ALL PLANS CIGNA-ALL PLANS $4.53 ↓ -86%
NETWORK BY DESIGN-ALL PLANS NETWORK BY DESIGN-ALL PLANS $6.36 ↓ -81%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $6.55 ↓ -80%
UHC JLL UHC JLL $6.73 ↓ -79%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $7.08 ↓ -78%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $8.31 ↓ -75%
MEDI-CAL MEDI-CAL $9.78 ↓ -70%
INDEPENDENCE OP ONLY - ALL PLANS INDEPENDENCE OP ONLY - ALL PLANS $10.76 ↓ -67%
DIGNITY MCAL OP ONLY DIGNITY MCAL OP ONLY $10.76 ↓ -67%
CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $12.71 ↓ -61%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $12.81 ↓ -61%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $251.49 ↑ +670%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $279.43 ↑ +755%

Visitor-reported prices

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Amitriptyline (elavil) -sendout at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $84.56 $29.00 – $29.00
Antioch Medical Center ANTIOCH $84.56 $29.00 – $29.00
Redwood City Medical Center Redwood City $84.56 $29.00 – $29.00
Santa Clara Medical Center SANTA CLARA $84.56 $29.00 – $29.00
Baldwin Park Medical Center BALDWIN PARK $260.00 $18.00 – $18.00
Riverside Medical Center RIVERSIDE $260.00 $18.00 – $18.00
Fremont Medical Center FREMONT $84.56 $29.00 – $29.00
Banner Lassen Medical Center Susanville $12.52 $4.92 – $11.64

All California hospitals for this procedure →