Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at University Hospitals Geneva Medical Center

870 West Main Street, Geneva, OH · University Hospitals · · NPI 1225128432

Source: hospital's published price file ↗ · Published Jul 14, 2026 · Ingested Aug 13, 2026

$517.65

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.

$690.20

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.

$4.33 with Medical Mutual of Ohio vs $107.31 with Anthem — 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
Medical Mutual of Ohio MedFlex Commercial $4.33 ↓ -99%
Medical Mutual of Ohio SuperMed Commercial $4.81 ↓ -99%
Medical Mutual of Ohio NAS Commercial $5.29 ↓ -99%
Molina Medicare Advantage $22.64 ↓ -96%
Aetna Medicare Advantage $22.64 ↓ -96%
Wellcare by Allwell Medicare Advantage $22.64 ↓ -96%
Anthem Medicare Advantage $22.64 ↓ -96%
United Healthcare Medicare Advantage $22.64 ↓ -96%
The Health Plan Medicare Advantage $22.64 ↓ -96%
Humana Medicare Advantage $22.64 ↓ -96%
SummaCare Medicare Advantage $22.64 ↓ -96%
Medical Mutual of Ohio Medicare Advantage $22.64 ↓ -96%
Primetime Health Plan Medicare Advantage $22.64 ↓ -96%
Cigna Medicare Advantage $22.64 ↓ -96%
Devoted Health Medicare Advantage $22.64 ↓ -96%
Paramount Medicare Advantage $23.32 ↓ -95%
Valor Health Plans Medicare Advantage $23.77 ↓ -95%
Perennial Advantage of Ohio Medicare Advantage $23.77 ↓ -95%
Ambetter Commercial $40.75 ↓ -92%
CareSource Marketplace $40.75 ↓ -92%
University Health Employee Plan (Contigo) Commercial $45.28 ↓ -91%
Buckeye Plain Ministries Fund $52.07 ↓ -90%
Amish Aid Community Plan Fund $52.07 ↓ -90%
Amish Church Fund and Workers Aid Plan Fund $52.07 ↓ -90%
JP Farley Commercial $53.20 ↓ -90%
Christian Healthcare Ministries Fund $56.60 ↓ -89%
Sunrise Plan Communities Fund $56.60 ↓ -89%
Immergrun Commercial $56.60 ↓ -89%
SummaCare Commercial $57.73 ↓ -89%
AultCare Commercial $62.26 ↓ -88%
Cigna PPO Commercial $62.83 ↓ -88%
Cigna OAP Commercial $67.58 ↓ -87%
HealthSmart Commercial $73.58 ↓ -86%
Ohio Health Choice Preferred Health Choice Plus Commercial $73.58 ↓ -86%
The Health Plan Commercial $74.71 ↓ -86%
Aetna Commercial $75.50 ↓ -85%
Medical Mutual of Ohio Traditional/Health Ohio Commercial $79.24 ↓ -85%
Ohio Preferred Network Commercial $90.56 ↓ -83%
Beech Street Commercial $90.56 ↓ -83%
First Health Commercial $93.96 ↓ -82%
Century Health Network Commercial $96.22 ↓ -81%
Anthem Traditional Commercial $96.67 ↓ -81%
Anthem Tiered/Pathway Commercial $96.67 ↓ -81%
Medical Mutual of Ohio Northern Ohio Commercial $96.90 ↓ -81%
Private Healthcare System Commercial $97.35 ↓ -81%
Ohio Health Choice Commercial $101.88 ↓ -80%
Fortified Provider Network Commercial $101.88 ↓ -80%
MultiPlan Commercial $101.88 ↓ -80%
United Healthcare Commercial $102.79 ↓ -80%
Anthem Blue Access Commercial $107.31 ↓ -79%
Aetna (Ohio Rise) Managed Medicaid not published by hospital —
Molina Managed Medicaid not published by hospital —
CareSource Managed Medicaid not published by hospital —
Buckeye Managed Medicaid not published by hospital —
United Healthcare Managed Medicaid not published by hospital —
Amerihealth Caritas Managed Medicaid not published by hospital —
Humana Managed Medicaid not published by hospital —

Visitor-reported prices

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

Hospital City Cash price Negotiated range
Mercy West Hospital Cincinnati $243.72 not published
St Ritas Medical Center Lima $196.20 not published
Trinity Medical Center East Steubenville $118.53 $1.78 – $10.01
cleveland clinic main campus Cleveland $87.29 $2.18 – $120.86
akron general Akron $931.45 $2.17 – $467.32
avon hospital Avon $931.45 $2.23 – $467.32
cleveland clinic childrens hospital for rehabilitation Cleveland $931.45 $146.84 – $467.32
euclid hospital Euclid $931.45 $2.23 – $467.32

All Ohio hospitals for this procedure →