Amitriptyline (elavil) -sendout at HCA HOUSTON TOMBALL

5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

$1,008.74

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.

$1,008.74

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.

$0.05 with Aetna vs $453.93 with United — 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 QHPExchange $0.05 ↓ -100%
Aetna NBPPO $0.06 ↓ -100%
Aetna NBPOS $0.06 ↓ -100%
Aetna NBHMO $0.06 ↓ -100%
Aetna COMMPOS $0.07 ↓ -100%
Aetna COMMPPO $0.07 ↓ -100%
Aetna COMMHMO $0.07 ↓ -100%
Aetna OONPPO $0.08 ↓ -100%
Aetna OONHMO $0.08 ↓ -100%
Aetna OONPOS $0.08 ↓ -100%
Aetna ASAPOS $0.09 ↓ -100%
Aetna ASAPPO $0.09 ↓ -100%
Aetna ASAHMO $0.09 ↓ -100%
Texas Childrens Healthplans CHIP $4.20 ↓ -100%
Texas Childrens Healthplans MEDICAID $4.20 ↓ -100%
Community Health Choice MCD CHIP $4.20 ↓ -100%
Community Health Choice MCD STAR $4.20 ↓ -100%
Community Health Choice MCD STAR+PLUS $4.20 ↓ -100%
Community Health Choice MCD CHIPPerinatal $4.20 ↓ -100%
United MGMCD $4.28 ↓ -100%
Aetna Better Health MGMCD $4.54 ↓ -100%
Molina Healthcare CHIP $4.62 ↓ -100%
Molina Healthcare STAR $4.62 ↓ -100%
Molina Healthcare STARKIDS $4.62 ↓ -100%
Molina Healthcare STARPLUS $4.62 ↓ -100%
Humana MCD $5.25 ↓ -99%
Humana HMO $51.18 ↓ -95%
Humana PPO $51.18 ↓ -95%
Superior Health Plan STARKids $60.52 ↓ -94%
Superior Health Plan CHIP $60.52 ↓ -94%
Superior Health Plan STAR $60.52 ↓ -94%
Superior Health Plan CHPFC $60.52 ↓ -94%
Superior Health Plan STARPLUS $60.52 ↓ -94%
Aetna MCR $66.88 ↓ -93%
Cigna CSN $98.98 ↓ -90%
Cigna OpenAccessPlus $107.21 ↓ -89%
Cigna PPO $127.56 ↓ -87%
BCBS MyBlueHealth $164.42 ↓ -84%
United OptionsPPO $169.47 ↓ -83%
BCBS BAV $181.57 ↓ -82%
Oscar HIX $196.70 ↓ -81%
BCBS HMO $226.97 ↓ -77%
BCBS EPOSOA $232.01 ↓ -77%
BCBS PPO $236.05 ↓ -77%
Healthcare Highways NarrowNetwork $257.23 ↓ -74%
Molina Healthcare HIX $272.36 ↓ -73%
Evry Health BroadNetwork $275.39 ↓ -73%
CHC Harris Health Indigent $302.62 ↓ -70%
BCBS Traditional $353.06 ↓ -65%
Coventry National First Health COMM $367.18 ↓ -64%
Christus (USFHP) TRICARE $403.50 ↓ -60%
United GlobalAppendix $453.93 ↓ -55%
Curative Administrators COMM not published by hospital

Visitor-reported prices

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Amitriptyline (elavil) -sendout at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston not published $0.05 – $98.98
HCA HOUSTON WEST HOUSTON not published $0.05 – $98.98
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $44.64 $4.20 – $25.34
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $101.17 $7.33 – $54.18
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $96.35 $4.20 – $45.15
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $44.64 $4.20 – $25.34
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $101.17 $4.49 – $54.18
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $101.17 $4.20 – $54.18

All Texas hospitals for this procedure →