Amitriptyline (elavil) -sendout at HCA HOUSTON WEST

12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

not published by hospital

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.

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

not published by hospital

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.

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

$0.05 with Aetna vs $550.80 with Affiliated PPO — 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
Aetna NBPOS $0.06
Aetna NBPPO $0.06
Aetna NBHMO $0.06
Aetna COMMPOS $0.07
Aetna COMMHMO $0.07
Aetna COMMPPO $0.07
Aetna OONHMO $0.08
Aetna OONPOS $0.08
Aetna OONPPO $0.08
Aetna ASAPPO $0.09
Aetna ASAPOS $0.09
Aetna ASAHMO $0.09
Texas Health Network MCD $4.12
Community Health Choice MCD CHIPPerinatal $4.20
Texas Childrens Health Plans STARKIDS $4.20
Texas Childrens Health Plans STAR $4.20
Community Health Choice MCD STAR+PLUS $4.20
Community Health Choice MCD STAR $4.20
Community Health Choice MCD CHIP $4.20
Amerigroup MGMCD $4.20
Amerigroup MCDCHIPBH $4.20
United MGMCD $4.28
Aetna Better Health MGMCD $4.54
Molina Healthcare STAR $4.62
Molina Healthcare STARPLUS $4.62
Molina Healthcare CHIP $4.62
Molina Healthcare STARKIDS $4.62
Humana MCD $5.25
Superior Health Plan CHIP $36.72
Superior Health Plan CHPFC $36.72
Superior Health Plan STAR $36.72
Superior Health Plan STARKids $36.72
Superior Health Plan STARPLUS $36.72
Aetna MCR $40.58
Humana PPO $51.18
Humana HMO $51.18
Cigna CSN $98.98
BCBS MyBlueHealth $99.76
Texas Childrens Health Plans CHIP $101.59
United OptionsPPO $102.82
Superior HMO $107.10
Superior EPO $107.10
Cigna OpenAccessPlus $107.21
BCBS BAV $110.16
Oscar HIX $119.34
Superior ValueHMO $121.18
Cigna PPO $127.56
BCBS HMO $137.70
BCBS EPOSOA $140.76
BCBS PPO $143.21
Texas Workforce Commission WCOMP $146.88
Healthcare Highways NarrowNetwork $156.06
Molina Healthcare HIX $165.24
Evry Health BroadNetwork $167.08
CHC Harris Health Indigent $183.60
BCBS Traditional $214.20
Imagine Health PPO $214.20
Christus (USFHP) TRICARE $244.80
HealthSmart Preferred Care ACCEL $263.16
United GlobalAppendix $275.40
Fidelis SecureCare of TX MGMCR $275.40
Averde Health Commercial $275.40
Coventry National First Health COMM $326.20
Physicians Cooperative of Texas WC $336.60
Rockport Workers Comp COMM $336.60
SouthWest Medical WORKERSCOMP $367.20
Independent Medical System COMM $367.20
National Healthcare Solutions COMM $367.20
Triumph COMM $367.20
Coastal Comp COMM $397.80
Multiplan PHCSPrimaryNetwork $459.00
Cigna Behavioral Health COMMBH $489.60
HealthSmart Preferred Care PPO $501.84
Physicians, INC COMM $520.20
Multiplan ComplementaryNetwork $520.20
HealthSmart Preferred Care ACCOUNTABLEPPO $520.20
Affiliated PPO COMM $550.80
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 TOMBALL HOUSTON $1,008.74 $0.05 – $98.98
HCA HOUSTON MEDICAL CENTER 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 →