Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at MercyOne Des Moines Medical Center
1111 6th Ave, Des Moines, IA · MercyOne · Nonprofit · NPI 1234567893
$643.90
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.
?
What you pay up front if you don't use insurance.
$643.90
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.
?
The hospital's undiscounted list price — almost no one pays this.
$23.12 with HEALTH CHOICES vs $115.00 with CRIME VICTIM ASSISTANCE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| HEALTH CHOICES | MEDICAL ASSOCIATES | $23.12 | ↓ -96% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $23.12 | ↓ -96% |
| MEDICAL MUTUAL | AETNA | $39.91 | ↓ -94% |
| LUMINARE HEALTH | AETNA | $39.91 | ↓ -94% |
| CHRISTIAN BROTHER SERVICES | AETNA | $39.91 | ↓ -94% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $39.91 | ↓ -94% |
| LUCENT HEALTH | AETNA | $39.91 | ↓ -94% |
| AETNA | AETNA | $39.91 | ↓ -94% |
| ASR HEALTH BENEFITS | AETNA | $39.91 | ↓ -94% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $39.91 | ↓ -94% |
| FIRST HEALTH | AETNA | $39.91 | ↓ -94% |
| AETNA DOMESTIC | AETNA | $39.91 | ↓ -94% |
| COVENTRY | AETNA | $39.91 | ↓ -94% |
| ALLIED BENEFIT SYSTEMS | AETNA | $39.91 | ↓ -94% |
| MERITAIN | AETNA | $39.91 | ↓ -94% |
| WEBTPA | AETNA | $39.91 | ↓ -94% |
| UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $63.83 | ↓ -90% |
| GEHA | UNITED HEALTHCARE | $69.00 | ↓ -89% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $69.00 | ↓ -89% |
| CIGNA EAP | CIGNA | $69.00 | ↓ -89% |
| CIGNA | CIGNA | $69.00 | ↓ -89% |
| HEALTH PARTNERS | HEALTH PARTNERS | $73.03 | ↓ -89% |
| AUXIANT | MIDLANDS CHOICE PPO | $74.75 | ↓ -88% |
| MEDICA | MIDLANDS CHOICE PPO | $74.75 | ↓ -88% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $74.75 | ↓ -88% |
| MIDLANDS | MIDLANDS CHOICE PPO | $74.75 | ↓ -88% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $95.45 | ↓ -85% |
| USA MANAGED CARE | USA MANAGED CARE | $97.75 | ↓ -85% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $115.00 | ↓ -82% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $115.00 | ↓ -82% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $115.00 | ↓ -82% |
Visitor-reported prices
Comments
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $51.64 | $0.94 – $6.63 |
| 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 |