Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at Northwestern Medicine McHenry Hospital

4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 17, 2026

$601.30

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.

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What you pay up front if you don't use insurance.

$859.00

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.

$29.92 with AETNA HEALTH PLAN [171] vs $155.00 with MULTIPLAN/PHCS [142] — 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
AETNA HEALTH PLAN [171] NWR AETNA NM EMPLOYEES $29.92 ↓ -95%
MERCY CARE HEALTH PLANS [5013] NWR MERCY CARE $47.04 ↓ -92%
ALTERNATE BLUE CROSS [1402] NWR BCBS PPO $52.55 ↓ -91%
BLUE CROSS BLUE SHIELD [1401] NWR BCBS PPO $52.55 ↓ -91%
AETNA HEALTH PLAN [171] NWR AETNA APCN/SP $53.32 ↓ -91%
AETNA HEALTH PLAN [171] NWR AETNA IL PREFERRED $55.03 ↓ -91%
ALTERNATE BLUE CROSS [1402] NWR BCBS HMO $55.30 ↓ -91%
BLUE CROSS BLUE SHIELD [1401] NWR BCBS HMO $55.30 ↓ -91%
BLUE CROSS BLUE SHIELD [1401] NWR BCBS BLUECHOICE OPTIONS $74.09 ↓ -88%
BLUE CROSS BLUE SHIELD [1401] NWR BCBS BLUECHOICE PREFERRED $74.09 ↓ -88%
BLUE CROSS BLUE SHIELD [1401] NWR BCBS BLUECHOICE SELECT $74.09 ↓ -88%
HEALTHLINK [125] NWR SEIU HEALTHLINK $77.50 ↓ -87%
AETNA HEALTH PLAN [171] NWR AETNA ASA $81.38 ↓ -86%
CHOICECARE [177] NWR CHOICE CARE $82.46 ↓ -86%
MULTIPLAN/PHCS [142] NWR PHCS PPO $97.65 ↓ -84%
HEALTH'S FINEST NETWORK [126] NWR HFN PLATINUM EPO $108.50 ↓ -82%
HEALTH'S FINEST NETWORK [126] NWR HFN PPO $113.15 ↓ -81%
CIGNA HEALTH PLAN [178] NWR CIGNA BEHAVORIAL BHS $116.25 ↓ -81%
BEECHSTREET [176] NWR BEECHSTREET $124.00 ↓ -79%
BLUE CROSS BLUE SHIELD [1401] NWR BCBS PAR/INDEMNITY ADP $155.00 ↓ -74%
MULTIPLAN/PHCS [142] NWR NON-CONTRACTED PAYORS $155.00 ↓ -74%
ALTERNATE HUMANA MEDICARE ADV [2409] NWR HUMANA MEDICARE ADVT not published by hospital
GLOBAL EXCEL [1712] NWR MEDICARE not published by hospital
ALTERNATE BLUE CROSS MEDICARE ADV [2304] NWR BLUE CROSS MEDICARE ADVT not published by hospital

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

Hospital City Cash price Negotiated range
MercyOne Genesis Silvis Medical Center Silvis $570.18 $244.07 – $663.57
MercyOne Genesis Aledo Medical Center Aledo $570.18 $25.54 – $358.48
Uchicago Medicine Adventhealth Hinsdale Hinsdale $1,440.25 $1.89 – $1.89
Northwestern Memorial Hospital Chicago $630.00 not published
Uchicago Medicine Adventhealth La Grange La Grange $1,440.25 $1.89 – $1.89
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook $1,440.25 $1.86 – $1.89
Uchicago Medicine Adventhealth Glenoaks Glendale Heights $1,440.25 $1.89 – $1.89
Northwestern Medicine Central DuPage Hospital IL 60190 $1,315.30 not published

All Illinois hospitals for this procedure →