Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at St. Joseph’s Hospital and Medical Center

350 W Thomas Rd, Phoenix, AZ · CommonSpirit Health · · NPI 1982733655

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

$430.90

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.

$1,128.00

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.

$1.57 with Cigna vs $891.12 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
Cigna Commercial|Exchange $1.57 ↓ -100%
Cigna Commercial|LocalPlus SureFit $1.69 ↓ -100%
United Medicaid|All Plans $1.82 ↓ -100%
Cigna Commercial|All Other Plans $2.22 ↓ -99%
BCBS - AZ Commercial|All Other Plans $3.03 ↓ -99%
BCBS - AZ Commercial|Workers Comp $3.03 ↓ -99%
BCBS - AZ Commercial|Neighborhood $3.03 ↓ -99%
BCBS - AZ Commercial|MaricopaFocus $3.03 ↓ -99%
Aetna Commercial|All Plans $4.35 ↓ -99%
United Commercial|DignityHealthEmployee $214.32 ↓ -50%
Connected Care Commercial|Intel $473.76 ↑ +10%
Optum Commercial|OptumHealth $530.16 ↑ +23%
Cigna Commercial|LifeSource $620.40 ↑ +44%
Other Commercial|NTN $676.80 ↑ +57%
LifeTrac Commercial|All Plans $733.20 ↑ +70%
Health Net Commercial|Interlink $789.60 ↑ +83%
First Health Commercial|All Plans $789.60 ↑ +83%
MultiPlan Commercial|All Plans $891.12 ↑ +107%

Visitor-reported prices

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Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $589.67 $1.57 – $1,845.69
Yavapai Regional Medical Center (East) Prescott $316.84 $1.82 – $405.65

All Arizona hospitals for this procedure →