Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at CHI Health Midlands
11111 S 84th Street, Papillion, NE · Chihealth · · NPI 1215006101
$268.89
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.
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What you pay up front if you don't use insurance.
$640.20
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.
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The hospital's undiscounted list price — almost no one pays this.
$1.64 with Medica vs $96.28 with MultiPlan — 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 →
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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 ?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 |
|---|---|---|---|
| Medica | Commercial|ACO | $1.64 | ↓ -99% |
| Medica | Commercial|CHI Health | $1.69 | ↓ -99% |
| Medica | Commercial|All Other Plans | $1.77 | ↓ -99% |
| BCBS - NE | Commercial|BluePrint | $2.00 | ↓ -99% |
| BCBS - NE | Commercial|All Other Plans | $2.66 | ↓ -99% |
| United | Commercial|All Plans | $2.94 | ↓ -99% |
| Millard Public Schools | Commercial|Narrow Network | $3.43 | ↓ -99% |
| Greater Omaha Packing | Commercial|Narrow Network | $3.43 | ↓ -99% |
| One World | Commercial|Narrow Network | $3.43 | ↓ -99% |
| Greater Omaha Packing | Commercial|Broad Network | $3.94 | ↓ -99% |
| One World | Commercial|Broad Network | $3.94 | ↓ -99% |
| Timpte | Commercial|Broad Network | $3.94 | ↓ -99% |
| Millard Public Schools | Commercial|Broad Network | $3.94 | ↓ -99% |
| Centene | Medicaid|NE Total Care | $20.39 | ↓ -92% |
| United | Medicaid|Community Plan | $20.39 | ↓ -92% |
| ELAP | Commercial|All Plans | $31.72 | ↓ -88% |
| Medica | Commercial|Open Access | $58.90 | ↓ -78% |
| QuikTrip | Commercial|All Plans | $67.96 | ↓ -75% |
| PHCS | Commercial|All Plans | $80.42 | ↓ -70% |
| Midlands Choice | Commercial|Standard | $84.95 | ↓ -68% |
| Midlands Choice | Commercial|Premier | $84.95 | ↓ -68% |
| MultiPlan | Commercial|All Plans | $96.28 | ↓ -64% |
Visitor-reported prices
Comments
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Schuyler | Schuyler | $544.17 | $24.27 – $128.24 |
| CHI Health Immanuel | Omaha | $268.89 | $1.64 – $96.28 |
| CHI Health Nebraska Heart | Lincoln | $58.90 | $1.64 – $9.00 |
| CHI Health St. Mary's | Nebraska City | $106.28 | $2.35 – $10.54 |
| Lasting Hope Recovery Center | Omaha | $268.89 | $2.53 – $96.28 |
| CHI Health Good Samaritan | Kearney | $78.11 | $1.64 – $10.21 |
| CHI Health St. Francis | Grand Island | $75.55 | $1.64 – $10.32 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $268.89 | $1.64 – $96.28 |