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Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at UPMC Presbyterian

200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$4,942.80

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.

$8,238.00

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.

$1.60 with UPMC Health Plan vs $249.18 with Highmark BCBS of PA — 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
UPMC Health Plan Managed Medicaid $1.60 ↓ -100%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $2.54 ↓ -100%
Geisinger Medicaid/CHIP $2.54 ↓ -100%
Highmark Wholecare (prev Gateway) Medicaid $2.54 ↓ -100%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $2.54 ↓ -100%
UPMC Health Plan Commercial $3.13 ↓ -100%
Aetna CHIP/Medicaid $39.24 ↓ -99%
Aetna Medicare $54.50 ↓ -99%
Highmark BCBS of PA Medicare Advantage $56.24 ↓ -99%
UPMC Work Partners Workers Comp $71.24 ↓ -99%
Multiplan Worker's Compensation $82.84 ↓ -98%
Highmark BCBS of PA Managed Care - Social Mission $93.03 ↓ -98%
Highmark BCBS of PA Commercial - Social Mission Indemnity $95.67 ↓ -98%
Highmark Wholecare (prev Gateway) Medicare $109.00 ↓ -98%
Highmark BCBS of PA Managed Care $124.59 ↓ -97%
Highmark BCBS of PA Commercial - Indemnity $128.13 ↓ -97%
Preferred Healthcare System PPO $141.70 ↓ -97%
Coventry/First Health Commercial $152.60 ↓ -97%
Fidelis Medicare $163.50 ↓ -97%
InterGroup InterGroup Services Corporation $163.50 ↓ -97%
Health Coalition Partners Intergroup $174.40 ↓ -96%
Multiplan PPO $174.40 ↓ -96%
Private Health Care Systems PPO $174.40 ↓ -96%
SelectCare Commercial $174.40 ↓ -96%
Health Payors Organization Commercial $185.30 ↓ -96%
Humana Commercial $185.30 ↓ -96%
InterGroup Approved National Affiliated PPO Business $185.30 ↓ -96%
Highmark BCBS of PA UPMC Emergent $249.18 ↓ -95%

Visitor-reported prices

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

Hospital City Cash price Negotiated range
UPMC Mercy Pittsburgh $136.80 $0.59 – $55.71
UPMC Passavant-McCandless Pittsburgh $130.80 $1.60 – $145.35
UPMC Western Psychiatric Pittsburgh $130.80 $2.54 – $185.30
UPMC St. Margaret Pittsburgh not published $0.59 – $56.24
UPMC Northwest Seneca $96.00 $0.59 – $76.37
UPMC Somerset Somerset $141.00 $0.91 – $55.14
UPMC Wellsboro Wellsboro $17.40 $2.54 – $26.10
UPMC Williamsport Williamsport $17.40 $2.54 – $26.10

All Pennsylvania hospitals for this procedure →