Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at St. Luke's Health - Lakeside Hospital

17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$3,703.29

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.

$10,580.82

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.

$2.54 with United vs $547.01 with MHealth Network — 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
United Commercial|Exchange $2.54 ↓ -100%
BCBS - TX Commercial|MyBlue Health Exchange $2.57 ↓ -100%
BCBS-TX Commercial|Exchange $2.90 ↓ -100%
United Commercial|Charter $3.83 ↓ -100%
United Commercial|HMO $3.83 ↓ -100%
United Commercial|PPO $3.83 ↓ -100%
Cigna Commercial|PPO $4.78 ↓ -100%
BCBS-TX Commercial|Blue Premier $5.00 ↓ -100%
Cigna Commercial|Surefit $5.04 ↓ -100%
Cigna Commercial|HMO $5.04 ↓ -100%
BCBS-TX Commercial|HMO $6.28 ↓ -100%
BCBS-TX Commercial|PPO $7.67 ↓ -100%
Aetna-Kelsey Care Commercial|HMO $120.35 ↓ -97%
Aetna Commercial|HMO $142.23 ↓ -96%
Aetna Commercial|PPO $142.23 ↓ -96%
OPTUM Medicare|All Plans $147.70 ↓ -96%
Aetna Commercial|Transplant $175.05 ↓ -95%
Bright Health Commercial|All Plans $180.52 ↓ -95%
TCHPCHIP Medicaid|HMO $191.46 ↓ -95%
OPTUM Medicaid|STAR $197.91 ↓ -95%
United Commercial|Optum $257.10 ↓ -93%
Humana Commercial|HMO $262.57 ↓ -93%
Humana Commercial|PPO $262.57 ↓ -93%
KelseyCare Commercial|All Other Plans $268.04 ↓ -93%
TEXASTRUECHOICE Medicaid|CHIP $300.86 ↓ -92%
CHC Medicaid|HMO $300.86 ↓ -92%
CHC Medicaid|CHIP $300.86 ↓ -92%
Cigna Lifesource Commercial|Transplant $328.21 ↓ -91%
Independent Med System Commercial|All Plans $328.21 ↓ -91%
First Health Commercial|All Plans $355.56 ↓ -90%
Coventry Commercial|PPO $355.56 ↓ -90%
Humana Commercial|Transplant $355.56 ↓ -90%
PHCS Savility Commercial|PPO $382.91 ↓ -90%
Interlink Commercial|Transplant $382.91 ↓ -90%
PHCS Commercial|All Plans $382.91 ↓ -90%
Healthsmart Commercial|PPO $382.91 ↓ -90%
Cigna Commercial|Transplant $382.91 ↓ -90%
MultiPlan Commercial|All Plans $410.26 ↓ -89%
OPTUM Medicaid|STARPLUS $451.94 ↓ -88%
USA Health Network Commercial|All Plans $464.96 ↓ -87%
MHealth Network Commercial|PPO $547.01 ↓ -85%

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 →