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

1701 Lacey St, Cape Girardeau, MO · Mercy · · NPI 1811006661

Source: hospital's published price file ↗ · Published Jun 11, 2026 · Ingested Sep 8, 2026

$240.84

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.

$370.53

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.

$23.30 with MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] vs $304.75 with HUMANA CONTRACTED [320193] — 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
MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $23.30 ↓ -90%
MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $23.30 ↓ -90%
AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $23.30 ↓ -90%
MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $23.30 ↓ -90%
MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $23.30 ↓ -90%
MEDICAID [20240] HB STLO CAPE IL MEDICAID $53.78 ↓ -78%
COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB STLO CAPE IL MEDICAID $53.78 ↓ -78%
BLUE CROSS AND BLUE SHIELD [20053] HB CAPE ANTHEM PATHWAY/EXCHANGE $64.89 ↓ -73%
HOME STATE MEDICAID CONTRACTED [320189] HB CAPE HOME STATE MANAGED MEDICAID $71.71 ↓ -70%
BCBS MEDICAID CONTRACTED [320046] HB CAPE MISSOURI CARE HEALTH PLAN/HEALTHY BLUE $71.71 ↓ -70%
MEDICAID PENDING [20241] HB CAPE HOME STATE MANAGED MEDICAID $71.71 ↓ -70%
MEDICAID [20240] HB CAPE MO MEDICAID $71.71 ↓ -70%
UNITED HEALTHCARE MEDICAID CONTRACTED [320397] HB CAPE UHC MANAGED MEDICAID $71.71 ↓ -70%
MEDICAID PENDING [20241] HB CAPE MISSOURI CARE HEALTH PLAN/HEALTHY BLUE $71.71 ↓ -70%
BLUE CROSS AND BLUE SHIELD [20053] HB CAPE ANTHEM TRAD $91.20 ↓ -62%
HEALTH ALLIANCE CONTRACTED [320164] HB CAPE STOD HEALTH ALLIANCE MEDICAL PLAN COMMERCIAL (HAMP) $161.34 ↓ -33%
BLUE CROSS AND BLUE SHIELD [20053] HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION $170.30 ↓ -29%
FIRST HEALTH CONTRACTED [320128] HB CAPE AETNA COMMERCIAL / FIRST HEALTH $229.46 ↓ -5%
AETNA CONTRACTED [320008] HB CAPE AETNA COMMERCIAL / FIRST HEALTH $229.46 ↓ -5%
AITHER HEALTH CONTRACTED [320449] HB CAPE STOD LACLEDE CHAIN DEC NEW 11.01.25 $243.80 ↑ +1%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB CAPE STOD SAPAUGH AUTO DEC 010125 $243.80 ↑ +1%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB CAPE STOD TALL TREE DEC NEW 11.01.25 $243.80 ↑ +1%
YUZU HEALTH CONTRACTED [320521] HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 $243.80 ↑ +1%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB CAPE STOD HERMANN DEC 010125 $243.80 ↑ +1%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB CAPE STOD EASTER SEALS DEC NEW 010125 $243.80 ↑ +1%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB CAPE STOD BARTEL DEC NEW 11.01.25 $243.80 ↑ +1%
HEALTHLINK CONTRACTED [320179] HB CAPE STOD SAPAUGH AUTO DEC 010125 $243.80 ↑ +1%
MERCY BENEFIT ADMIN [20251] HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 $243.80 ↑ +1%
AITHER HEALTH CONTRACTED [320449] HB CAPE STOD WOODARD DEC NEW 110125 $243.80 ↑ +1%
AITHER HEALTH CONTRACTED [320449] HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 $243.80 ↑ +1%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 $243.80 ↑ +1%
EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB CAPE STOD WOODARD DEC NEW 110125 $243.80 ↑ +1%
YUZU HEALTH CONTRACTED [320521] HB CAPE STOD LEVEL HEALTH DEC NEW 01.01.26 $243.80 ↑ +1%
CIGNA HEALTHCARE CONTRACTED [320071] HB CAPE CIGNA COMMERCIAL $250.97 ↑ +4%
HEALTHLINK CONTRACTED [320179] HB CAPE HEALTHLINK HMO $250.97 ↑ +4%
HEALTHLINK CONTRACTED [320179] HB CAPE HEALTHLINK STATE OF ILLINOIS $250.97 ↑ +4%
WORKERS COMP [20426] HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT $268.90 ↑ +12%
HEALTHLINK CONTRACTED [320179] HB CAPE HEALTHLINK PPO/WC $279.65 ↑ +16%
MULTIPLAN CONTRACTED [320270] HB CAPE MULTIPLAN/PHCS $286.82 ↑ +19%
WORKERS COMP [20426] HB STLO WASH JEFN LINC SAMC PCMH CAPE STOD OHA NETWORK WORK COMP $286.82 ↑ +19%
PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB CAPE MULTIPLAN/PHCS $286.82 ↑ +19%
HUMANA CONTRACTED [320193] HB CAPE HUMANA COMMERCIAL $304.75 ↑ +27%

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

Hospital City Cash price Negotiated range
Mercy Hospital Lincoln Troy $381.89 $66.80 – $66.80
Mercy Orthopedic Hospital Springfield Ozark $312.65 $50.00 – $180.69

All Missouri hospitals for this procedure →