Amitriptyline (elavil) -sendout at HCA HOUSTON NORTHWEST
621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121
$1,008.40
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.
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What you pay up front if you don't use insurance.
$1,008.40
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.
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The hospital's undiscounted list price — almost no one pays this.
$0.05 with Aetna vs $537.48 with Coventry National First Health — 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 →
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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 ?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 |
|---|---|---|---|
| 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% |
| Community Health Choice MCD | STAR | $4.20 | ↓ -100% |
| Texas Childrens Health Plans | STAR | $4.20 | ↓ -100% |
| Texas Childrens Health Plans | STARKIDS | $4.20 | ↓ -100% |
| Community Health Choice MCD | CHIPPerinatal | $4.20 | ↓ -100% |
| Community Health Choice MCD | STAR+PLUS | $4.20 | ↓ -100% |
| Community Health Choice MCD | CHIP | $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 | CHPFC | $60.50 | ↓ -94% |
| Superior Health Plan | STAR | $60.50 | ↓ -94% |
| Superior Health Plan | STARKids | $60.50 | ↓ -94% |
| Superior Health Plan | CHIP | $60.50 | ↓ -94% |
| Superior Health Plan | STARPLUS | $60.50 | ↓ -94% |
| Cigna | CSN | $98.98 | ↓ -90% |
| Cigna | OpenAccessPlus | $107.21 | ↓ -89% |
| Cigna | PPO | $127.56 | ↓ -87% |
| BCBS | MyBlueHealth | $164.37 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $167.39 | ↓ -83% |
| United | OptionsPPO | $169.41 | ↓ -83% |
| BCBS | BAV | $181.51 | ↓ -82% |
| Oscar | HIX | $196.64 | ↓ -80% |
| BCBS | HMO | $226.89 | ↓ -78% |
| BCBS | EPOSOA | $231.93 | ↓ -77% |
| BCBS | PPO | $235.97 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $257.14 | ↓ -75% |
| Molina Healthcare | HIX | $272.27 | ↓ -73% |
| Evry Health | BroadNetwork | $275.29 | ↓ -73% |
| BCBS | Traditional | $352.94 | ↓ -65% |
| Christus (USFHP) | TRICARE | $403.36 | ↓ -60% |
| United | GlobalAppendix | $453.78 | ↓ -55% |
| Coventry National First Health | COMM | $537.48 | ↓ -47% |
| 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 |
|---|---|---|---|
| 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 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $44.64 | $4.20 – $25.34 |