Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at CENTERPOINT MEDICAL CENTER

19600 E 39TH ST, Independence, MO · Hcamidwest · · NPI 1942247044

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

$169.60

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.

Full explanation →

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

$169.60

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1.25 with United vs $152.64 with FOCUS Healthcare Mgmt, Inc — 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 →

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
United KSMGMCD $1.25 ↓ -99%
HealthyBlue MGMCD $1.27 ↓ -99%
BCBS TRICARE $1.27 ↓ -99%
Sunflower State Health Plan MCD $1.29 ↓ -99%
Amerigroup MGMCD $1.30 ↓ -99%
Unicare MGMCD $1.30 ↓ -99%
Home State Health Plan MCD $1.33 ↓ -99%
United AllPayerAppendix $2.06 ↓ -99%
United MOMGMCD $2.16 ↓ -99%
BCBS FreedomNetworkSelect $37.31 ↓ -78%
Coventry MedicareAdvantage $37.31 ↓ -78%
Aetna Coventry FamilyHealthPlanMCD $37.31 ↓ -78%
United OptionsPPO $42.57 ↓ -75%
BCBS PC $49.18 ↓ -71%
BCBS FreedomNetwork $49.18 ↓ -71%
BCBS Preferred-CareBlue(PPO) $50.88 ↓ -70%
BCBS Blue-Care(HMO) $50.88 ↓ -70%
BCBS BlueAccess $50.88 ↓ -70%
Coventry WCOMP $68.18 ↓ -60%
Coventry KC MO WCOMP $69.54 ↓ -59%
United GlobalBenefitPlan $76.32 ↓ -55%
BCBS Traditional $78.02 ↓ -54%
BCBS Participating $78.02 ↓ -54%
OHA Network MissouriWCOMP $84.80 ↓ -50%
CorVel Corporation MOWC $110.24 ↓ -35%
Multiplan ComplimentaryNetwork $125.50 ↓ -26%
Multiplan WCOMPMissouri $135.68 ↓ -20%
Global Sports Services WCOMP $135.68 ↓ -20%
CCO, Inc. COMM $144.16 ↓ -15%
CCO, Inc. WORKERSCOMPPPO $144.16 ↓ -15%
FOCUS Healthcare Mgmt, Inc WORKERSCOMP $152.64 ↓ -10%
Aetna IVLHIX not published by hospital
Aetna Local not published by hospital
Aetna KCCarePlus not published by hospital
Aetna National not published by hospital

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

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 Hospital Southeast Cape Girardeau $240.84 $91.20 – $91.20
Mercy Orthopedic Hospital Springfield Ozark $312.65 $50.00 – $180.69
RESEARCH MEDICAL CENTER Kansas City $342.17 $1.25 – $1.54
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $1.37 – $1.56
SSM Health DePaul Hospital - St. Louis Bridgeton not published $1.37 – $1.56
SSM Health Saint Louis University Hospital Saint Louis not published $2.57 – $7.87
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $1.37 – $1.56

All Missouri hospitals for this procedure →