Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$1,519.19
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.
$3,533.00
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.
$1.14 with Noble IPA vs $3,533.00 with SMIPA — 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 |
|---|---|---|---|
| Noble IPA | Medicaid|< 21 | $1.14 | ↓ -100% |
| Noble IPA | Medicaid|> 21 | $1.14 | ↓ -100% |
| HCLA | Medicaid|Preferred IPA > 21 | $1.27 | ↓ -100% |
| Preferred IPA | Medicaid|Risk | $1.27 | ↓ -100% |
| HCLA | Medicaid|Preferred IPA < 21 | $1.27 | ↓ -100% |
| United | Commercial|Non-Options PPO | $1.49 | ↓ -100% |
| Health Net | Medicaid|< 21 | $1.69 | ↓ -100% |
| Health Net | Medicaid|> 21 | $1.69 | ↓ -100% |
| Molina | Medicaid|All Plans | $1.78 | ↓ -100% |
| Health Net | Commercial|EPPO | $2.60 | ↓ -100% |
| Aetna | Commercial|HMO | $2.64 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $2.64 | ↓ -100% |
| Aetna | Commercial|PPO | $2.64 | ↓ -100% |
| United | Commercial|Options PPO | $2.94 | ↓ -100% |
| United | Commercial|HMO | $2.94 | ↓ -100% |
| United | Commercial|All Other Plans | $2.94 | ↓ -100% |
| Health Net | Commercial|Care Product | $3.19 | ↓ -100% |
| Health Net | Commercial|All Other Plans | $3.65 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $4.20 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $4.20 | ↓ -100% |
| LA Care | Medicaid|All Plans | $5.23 | ↓ -100% |
| Angeles IPA | Medicare|All Plans | $5.24 | ↓ -100% |
| BCBS - Anthem | Medicaid|All Plans | $5.55 | ↓ -100% |
| Blue Shield CA | Medicaid|All Plans | $6.35 | ↓ -100% |
| Care 1st | Medicaid|All Plans | $6.35 | ↓ -100% |
| BCBS - Anthem | Commercial|Exchange | $183.05 | ↓ -88% |
| BCBS - Anthem | Commercial|All Other Plans | $273.21 | ↓ -82% |
| BCBS - Anthem | Commercial|MCS | $423.43 | ↓ -72% |
| DHR | Medicaid|> 21 | $883.25 | ↓ -42% |
| DHR | Medicaid|< 21 | $883.25 | ↓ -42% |
| Cigna | Commercial|All Other Plans | $1,625.18 | ↑ +7% |
| Cigna | Commercial|PPO | $1,625.18 | ↑ +7% |
| Blue Shield CA | Medicare|BlueShield Promise | $2,296.45 | ↑ +51% |
| Kaiser | Commercial|All Plans | $2,473.10 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $2,826.40 | ↑ +86% |
| SMIPA | Medicare|All Plans | $3,533.00 | ↑ +133% |
Visitor-reported prices
Comments
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $19.71 | $1.49 – $35.10 |
| Redwood City Medical Center | Redwood City | $267.29 | $1.34 – $1.34 |
| Santa Clara Medical Center | SANTA CLARA | $267.29 | $1.34 – $1.34 |
| Baldwin Park Medical Center | BALDWIN PARK | $248.20 | $1.34 – $1.34 |
| Riverside Medical Center | RIVERSIDE | $248.20 | $1.34 – $1.34 |
| Sacramento Medical Center | SACRAMENTO | $267.29 | $1.34 – $1.34 |
| Oakland Medical Center | Oakland | $267.29 | $1.34 – $1.34 |
| Walnut Creek Medical Center | WALNUT CREEK | $267.29 | $1.34 – $1.34 |