Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at French Hospital

1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452

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

$1,404.54

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.

$3,583.00

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.

$1.27 with Partnership Health Plan vs $3,511.34 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
Partnership Health Plan Medicaid|> 21 $1.27 ↓ -100%
Partnership Health Plan Medicaid|< 21 $1.27 ↓ -100%
BCBS - Anthem Medicaid|All Plans $1.27 ↓ -100%
Molina Medicaid|< 21 $1.27 ↓ -100%
Molina Medicaid|> 21 $1.27 ↓ -100%
United Commercial|Non-Options PPO $1.49 ↓ -100%
United Commercial|HMO $2.94 ↓ -100%
United Commercial|All Other Plans $2.94 ↓ -100%
Blue Shield CA Commercial|FFS $4.20 ↓ -100%
Blue Shield CA Commercial|Exchange $4.20 ↓ -100%
CenCal Medicaid|> 21 $5.55 ↓ -100%
CenCal Medicaid|< 21 $5.55 ↓ -100%
Aetna Commercial|Gatekeeper $8.24 ↓ -99%
Aetna Commercial|Non-Gatekeeper $12.90 ↓ -99%
BCBS - Anthem Commercial|Non-MCS $247.46 ↓ -82%
BCBS - Anthem Commercial|MCS $247.46 ↓ -82%
MHS HSPCC Commercial|All Plans $967.41 ↓ -31%
Western Growers Commercial|All Plans $1,791.50 ↑ +28%
Health Net Commercial|FFS $2,006.48 ↑ +43%
Kaiser Commercial|All Plans $2,221.46 ↑ +58%
Cigna Commercial|PPO $2,508.10 ↑ +79%
Cigna Commercial|All Other Plans $2,508.10 ↑ +79%
Healthsmart Commercial|All Plans $3,045.55 ↑ +117%
First Health Commercial|All Plans $3,045.55 ↑ +117%
MultiPlan Commercial|All Plans $3,511.34 ↑ +150%

Visitor-reported prices

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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

All California hospitals for this procedure →