Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at medina hospital
1000 East Washington Street, Medina, OH · Cleveland Clinic · · NPI 1083696710
$931.45
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.
$1,433.00
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.
$2.23 with AETNA vs $519.24 with AETNA — 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 |
|---|---|---|---|
| AETNA | Acop | $2.23 | ↓ -100% |
| CIGNA | ALL PRODUCTS | $2.69 | ↓ -100% |
| AETNA | International | $2.85 | ↓ -100% |
| UNITED | ALL PRODUCTS | $3.83 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $3.86 | ↓ -100% |
| ANTHEM | HPN | $75.24 | ↓ -92% |
| ANTHEM | PPO/HMO | $81.99 | ↓ -91% |
| AETNA | MEDICARE ADVANTAGE | $113.19 | ↓ -88% |
| OSCAR | ALL PRODUCTS | $146.84 | ↓ -84% |
| Zing Health | Medicare Advantage | $155.77 | ↓ -83% |
| PHPHI | ALL PRODUCTS | $166.16 | ↓ -82% |
| PHP | ALL PRODUCTS | $166.16 | ↓ -82% |
| CC EHP | ALL PRODUCTS | $175.50 | ↓ -81% |
| Summacare | Preferred | $181.73 | ↓ -80% |
| Summacare | PREMIER | $197.83 | ↓ -79% |
| Amish Community Aid Plan | ALL PRODUCTS | $233.66 | ↓ -75% |
| Aultcare | PPO/HMO | $235.22 | ↓ -75% |
| OHCP | ALL PRODUCTS | $252.35 | ↓ -73% |
| OMAS | ALL PRODUCTS | $259.62 | ↓ -72% |
| MMO | TRADITIONAL | $271.56 | ↓ -71% |
| MMO | NASCO | $271.56 | ↓ -71% |
| Ohio Healthy | TRANSPLANT | $280.39 | ↓ -70% |
| HEALTHSMART | ALL PRODUCTS | $285.58 | ↓ -69% |
| ANTHEM | TRADITIONAL | $289.58 | ↓ -69% |
| OPTUM | All Products Transplant | $293.89 | ↓ -68% |
| UPMC | ALL PRODUCTS | $311.54 | ↓ -67% |
| Quality Care Partners | ALL PRODUCTS | $363.47 | ↓ -61% |
| GMS | ALL PRODUCTS | $363.47 | ↓ -61% |
| The Health Plan | Secure Care | $363.47 | ↓ -61% |
| Medical Benefit Corp | Transplant SMCP | $363.47 | ↓ -61% |
| AETNA | ALL PRODUCTS | $389.43 | ↓ -58% |
| Consociate Health | ALL PRODUCTS | $389.43 | ↓ -58% |
| The Health Plan | ALL PRODUCTS | $456.93 | ↓ -51% |
| Tertiary Care Network | TRANSPLANT | $467.32 | ↓ -50% |
| FrontPath | TRANSPLANT | $467.32 | ↓ -50% |
| Managed Care Services | TRANSPLANT | $467.32 | ↓ -50% |
| MULTIPLAN | ALL PRODUCTS | $467.32 | ↓ -50% |
| AETNA | Qhp/Ipf | $519.24 | ↓ -44% |
| CARESOURCE | Managed Medicaid | not published by hospital | — |
| UNITED | Managed Medicaid | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| OPTUM | Managed Medicaid Transplant | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| Paramount | Managed Medicaid | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | Managed Medicaid | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
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 |