Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at CHI Health Plainview

704 N 3rd St, Plainview, NE · Chihealth · · NPI 1861765034

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 16, 2026

$537.77

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.

$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.

Full explanation →

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

$69.09 with Humana vs $153.38 with AMPS — 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
Humana Medicare|All Plans $69.09 ↓ -87%
Medica Medicare|All Plans $69.09 ↓ -87%
United Medicare|All Plans $69.09 ↓ -87%
PACE Medicare|All Plans $69.09 ↓ -87%
BCBS - NE Medicare|All Plans $69.09 ↓ -87%
Centene Medicare|All Plans $70.48 ↓ -87%
Todays Options Medicare|All Plans $70.48 ↓ -87%
Great Plains Medicare|All Plans $72.55 ↓ -87%
Amerigroup Medicare|All Plans $72.55 ↓ -87%
United Medicaid|Community Plan $73.62 ↓ -86%
Centene Medicaid|NE Total Care $73.62 ↓ -86%
IAMolina Medicaid|All Plans $76.57 ↓ -86%
BCBS - NE Commercial|BluePrint $102.22 ↓ -81%
Medica Commercial|All Other Plans $103.07 ↓ -81%
Medica Commercial|CHI Health $103.07 ↓ -81%
United Commercial|All Plans $107.60 ↓ -80%
BCBS - NE Commercial|All Other Plans $107.60 ↓ -80%
One World Commercial|Broad Network $108.73 ↓ -80%
Medica Commercial|ACO $108.73 ↓ -80%
Midlands Choice Commercial|Premier $108.73 ↓ -80%
Midlands Choice Commercial|Standard $108.73 ↓ -80%
One World Commercial|Narrow Network $108.73 ↓ -80%
Timpte Commercial|Broad Network $108.73 ↓ -80%
Greater Omaha Packing Commercial|Broad Network $108.73 ↓ -80%
Greater Omaha Packing Commercial|Narrow Network $108.73 ↓ -80%
Millard Public Schools Commercial|Narrow Network $108.73 ↓ -80%
QuikTrip Commercial|All Plans $108.73 ↓ -80%
Medica Commercial|Open Access $108.73 ↓ -80%
Millard Public Schools Commercial|Broad Network $108.73 ↓ -80%
PHCS Commercial|All Plans $111.00 ↓ -79%
MultiPlan Commercial|All Plans $111.00 ↓ -79%
AMPS Commercial|All Plans $153.38 ↓ -71%

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 Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $268.89 $1.64 – $96.28
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

All Nebraska hospitals for this procedure →