Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at MEDICAL CITY FORT WORTH HOSPITAL

900 EIGHTH AVENUE, FT WORTH, TX · Medicalcityhealthcare · · NPI 1659323772

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$9.50

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.

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What you pay up front if you don't use insurance.

$9.50

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.

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

$0.67 with Superior Health Plan vs $14.68 with BCBS — 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
Superior Health Plan STARKids $0.67 ↓ -93%
Superior Health Plan STARHealth $0.67 ↓ -93%
Superior Health Plan CHIP $0.67 ↓ -93%
Superior Health Plan MCDSTAR $0.67 ↓ -93%
Superior Health Plan STARPLUS $0.67 ↓ -93%
Humana Tricare $1.23 ↓ -87%
TriWest Health Alliance TRCR $1.27 ↓ -87%
Cigna IFP $1.28 ↓ -87%
Cigna QHP $1.33 ↓ -86%
Aetna QHPHIX $1.55 ↓ -84%
United OptionsPPO $1.79 ↓ -81%
United AllPayerAppendix $2.06 ↓ -78%
United NarrowNetworkIndivExchange $2.06 ↓ -78%
United SmallGroup $2.06 ↓ -78%
Unicare CHIP $2.09 ↓ -78%
Aetna NewBusiness $2.26 ↓ -76%
Aetna Meritain $2.43 ↓ -74%
Aetna COMM $2.43 ↓ -74%
Aetna OON $2.85 ↓ -70%
Healthcare Highways CityofPlano $3.21 ↓ -66%
BCBS Traditional $4.22 ↓ -56%
City of McKinney COMM $4.28 ↓ -55%
Emerging Therapy Solutions MGMCR $4.75 ↓ -50%
National ChoiceCare WCOMP $4.75 ↓ -50%
Aetna ASA $5.01 ↓ -47%
Cigna Lifesource COMM $5.04 ↓ -47%
Aetna WCOMP $5.22 ↓ -45%
Rockport Health Group WORKERSCOMP $5.22 ↓ -45%
Physicians Coop of TX MGMCR $5.22 ↓ -45%
PC Texas Partners WCOMP $5.22 ↓ -45%
Averde Health, Inc PPO $5.51 ↓ -42%
Aetna Coventry First Health EXCLUSIVE $5.60 ↓ -41%
Aetna Coventry First Health NONEXCLUSIVE $5.60 ↓ -41%
Mega Life MGMCRPPO $6.65 ↓ -30%
Coastal Comp Health Networks WCOMP $6.65 ↓ -30%
HealthSmart Preferred Care PPO $6.75 ↓ -29%
Emerging Therapy Solutions Commercial $6.84 ↓ -28%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $7.13 ↓ -25%
TCU ATHLETICS COMM $7.60 ↓ -20%
USC Health Services COMM $7.60 ↓ -20%
USA Managed Care COMM $7.60 ↓ -20%
Humana COMM $7.73 ↓ -19%
Galaxy Health Network PPO $8.07 ↓ -15%
Cigna LocalPlus $8.11 ↓ -15%
Cigna NewBusiness $8.12 ↓ -15%
BCBS MyBlueHealth $8.14 ↓ -14%
BCBS BlueAdvantageHMO $8.14 ↓ -14%
Optum Transplant COMM $8.17 ↓ -14%
Cigna HMO $9.06 ↓ -5%
Cigna NetworkBenefit $9.06 ↓ -5%
Cigna OpenAccessPlus $9.06 ↓ -5%
Unicare MCD $9.50 ↑ +0%
National Healthcare Solutions COMM $9.50 ↑ +0%
Independent Medical Systems COMM $9.50 ↑ +0%
Cigna AllOther $11.46 ↑ +21%
BCBS BlueEssentialsAccess $11.92 ↑ +25%
BCBS BlueEssentials $11.92 ↑ +25%
BCBS EPOSOA $12.51 ↑ +32%
BCBS PPO $13.10 ↑ +38%
BCBS BluePremier $14.68 ↑ +55%

Visitor-reported prices

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

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $66.58 $9.09 – $9.09
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $664.50 $2.32 – $941.38
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $664.50 $2.32 – $996.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $664.50 $2.32 – $830.62
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $664.50 $2.32 – $941.38
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $664.50 $2.32 – $996.75
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $664.50 $2.32 – $996.75
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $664.50 $2.32 – $996.75

All Texas hospitals for this procedure →