Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at MercyOne Centerville Medical Center

1 Saint Joseph Dr, Centerville, IA · MercyOne · · NPI 1356391635

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

$188.75

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.

$188.75

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.

$31.56 with MEDICARE MEDICAL ASSOCIATES HEALTH PLANS vs $115.00 with UNITED HEALTHCARE — 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
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $31.56 ↓ -83%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $31.67 ↓ -83%
MOLINA MEDICAID MOLINA MEDICAID $32.14 ↓ -83%
WELLPOINT MEDICAID WELLPOINT MEDICAID $32.29 ↓ -83%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $33.01 ↓ -83%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $33.35 ↓ -82%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $33.68 ↓ -82%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $34.02 ↓ -82%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $34.65 ↓ -82%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $35.35 ↓ -81%
AMISH HOSPITAL AID AMISH HOSPITAL AID $44.36 ↓ -76%
AMBETTER AMBETTER MARKETPLACE $56.03 ↓ -70%
NOVA CLAIMDOC $67.03 ↓ -64%
CLAIMDOC CLAIMDOC $67.03 ↓ -64%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $87.86 ↓ -53%
HEALTH CHOICES MEDICAL ASSOCIATES $87.86 ↓ -53%
GEHA UNITED HEALTHCARE $100.63 ↓ -47%
UNITED HEALTHCARE UNITED HEALTHCARE $100.63 ↓ -47%
COVENTRY AETNA $107.76 ↓ -43%
ALLIED BENEFIT SYSTEMS AETNA $107.76 ↓ -43%
MERITAIN AETNA $107.76 ↓ -43%
LUCENT HEALTH AETNA $107.76 ↓ -43%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $107.76 ↓ -43%
FIRST HEALTH AETNA $107.76 ↓ -43%
AETNA DOMESTIC AETNA $107.76 ↓ -43%
ASR HEALTH BENEFITS AETNA $107.76 ↓ -43%
AETNA AETNA $107.76 ↓ -43%
CHRISTIAN BROTHER SERVICES AETNA $107.76 ↓ -43%
LUMINARE HEALTH AETNA $107.76 ↓ -43%
WEBTPA AETNA $107.76 ↓ -43%
MEDICAL MUTUAL AETNA $107.76 ↓ -43%
AETNA EAP AETNA $107.76 ↓ -43%
1199 NATIONAL BENEFIT FUND AETNA $107.76 ↓ -43%
HEALTH PARTNERS HEALTH PARTNERS $110.63 ↓ -41%
MEDICA MIDLANDS CHOICE PPO $112.70 ↓ -40%
CIGNA MIDLANDS CHOICE PPO $112.70 ↓ -40%
CIGNA EAP MIDLANDS CHOICE PPO $112.70 ↓ -40%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $112.70 ↓ -40%
MIDLANDS MIDLANDS CHOICE PPO $112.70 ↓ -40%
AUXIANT MIDLANDS CHOICE PPO $112.70 ↓ -40%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $115.00 ↓ -39%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $115.00 ↓ -39%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $115.00 ↓ -39%

Visitor-reported prices

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

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $570.18 not published
MercyOne Dubuque Medical Center Dubuque $188.75 $41.06 – $115.00
MercyOne New Hampton Medical Center New Hampton $188.75 $45.53 – $115.00
MercyOne Dyersville Medical Center Dyersville $188.75 $43.47 – $129.44
MercyOne Clinton Medical Center Clinton $188.75 $32.55 – $115.00
MercyOne Oelwein Medical Center Oelwein $188.75 $43.95 – $115.00
MercyOne Cedar Falls Medical Center Cedar Falls $188.75 $27.03 – $115.00
MercyOne Elkader Medical Center Elkader $188.75 $59.19 – $120.20

All Iowa hospitals for this procedure →