Amitriptyline (elavil) -sendout at St. Luke's Health - Patients Medical Center

4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088

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

$51.35

Cash price

?

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.

$146.70

Gross charge

?

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.

$3.99 with TCHP vs $110.03 with MultiPlan — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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
TCHP Medicaid|All Plans $3.99 ↓ -92%
CHC Medicaid|All Plans $3.99 ↓ -92%
Wellpoint Medicaid|All Plans $4.20 ↓ -92%
UNITED Medicaid|All Other Plans $4.28 ↓ -92%
UNITED Medicaid|STAR $5.75 ↓ -89%
UNITED Medicaid|STARPLUS $13.10 ↓ -74%
United Commercial|Exchange $73.35 ↑ +43%
United Commercial|PPO $73.35 ↑ +43%
United Commercial|HMO $73.35 ↑ +43%
United Commercial|Charter $73.35 ↑ +43%
Cigna Lifesource Commercial|Transplant $88.02 ↑ +71%
Coventry Commercial|PPO $95.36 ↑ +86%
First Health Commercial|All Plans $95.36 ↑ +86%
Aetna Commercial|HMO $99.76 ↑ +94%
Cigna Commercial|HMO $100.00 ↑ +95%
Cigna Commercial|Surefit $100.00 ↑ +95%
Cigna Commercial|PPO $100.00 ↑ +95%
Cigna Commercial|Transplant $102.69 ↑ +100%
Healthsmart Commercial|PPO $102.69 ↑ +100%
MultiPlan Commercial|All Plans $110.03 ↑ +114%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Amitriptyline (elavil) -sendout at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA 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
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $96.35 $4.20 – $54.18

All Texas hospitals for this procedure →