Amitriptyline (elavil) -sendout at CHI Saint Joseph Health - Flaget Memorial Hospital

4305 NEW SHEPHERDSVILLE RD, Bardstown, KY · CommonSpirit Health · · NPI 1871588772

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$123.90

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.

$292.00

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.

$0.01 with BCBS - Anthem vs $153.79 with Multiplan — 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
BCBS - Anthem Commercial|HMO PPO $0.01 ↓ -100%
BCBS - Anthem Commercial|Pathway $0.01 ↓ -100%
Humana Medicaid|All Plans $29.82 ↓ -76%
Aetna Medicaid|Better Health $30.42 ↓ -75%
United Medicaid|Community Plan $31.03 ↓ -75%
BCBS - Anthem Medicaid|All Plans $31.95 ↓ -74%
Passport by Molina Medicaid|All Plans $32.86 ↓ -73%
Wellcare Medicaid|All Plans $36.81 ↓ -70%
Humana Commercial|All Plans $70.33 ↓ -43%
Cigna Commercial|All Other Plans $123.37 ↓ -0%
Cigna Commercial|PPO $123.37 ↓ -0%
Aetna Commercial|HMO $130.13 ↑ +5%
Aetna Commercial|PPO $130.13 ↑ +5%
Aetna Commercial|All Other Plans $130.13 ↑ +5%
Multiplan Commercial|All Plans $153.79 ↑ +24%

Visitor-reported prices

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Amitriptyline (elavil) -sendout at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $109.43 $0.01 – $206.57
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $150.99 $0.01 – $374.92
CHI Saint Joseph Health - Saint Joseph London London $77.44 $0.01 – $70.98
CHI Saint Joseph Health - Saint Joseph East Lexington $86.77 $0.01 – $49.14
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $108.79 $0.01 – $196.56
Adventhealth Manchester Manchester $108.56 not published

All Kentucky hospitals for this procedure →