healthcosts.net

Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution cost at US hospitals

TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION · HCPCS J9351

$17.26

lowest cash price

$316.84

national median

$3,358.00

highest cash price

451

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $17.26–$3,358.00 — the variation is the story.

Cheapest published cash price

$17.26

HSHS St. Mary's Hospital — DECATUR, IL

Most expensive published cash price

$3,358.00

St. Elizabeth Community Hospital — Red Bluff, CA

Median cash price over time

Sep 1, 2025 ($638.70) → Sep 1, 2026 ($342.17)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 $792.18 $792.18 $792.18
Arizona 3 $316.84 $430.90 $589.67
Arkansas 3 $194.25 $246.05 $325.00
California 67 $19.71 $267.29 $3,358.00
Colorado 11 $310.78 $310.78 $2,269.47
Florida 55 $21.45 $210.38 $2,869.00
Georgia 24 $25.49 $25.49 $1,253.88
Hawaii 1 $357.99 $357.99 $357.99
Illinois 28 $17.26 $630.00 $1,977.15
Indiana 19 $114.92 $200.93 $1,292.18
Iowa 30 $30.64 $188.75 $643.90
Kansas 5 $298.27 $298.27 $490.00
Kentucky 15 $218.64 $308.58 $1,292.18
Louisiana 6 not published by hospital not published by hospital not published by hospital
Maine 7 $630.94 $638.70 $676.16
Maryland 1 not published by hospital not published by hospital not published by hospital
Michigan 13 not published by hospital not published by hospital not published by hospital
Minnesota 14 $360.04 $1,854.89 $2,164.04
Mississippi 7 $259.00 $297.85 $518.00
Missouri 16 $169.60 $312.65 $381.89
Montana 2 $384.16 $384.16 $497.65
Nebraska 12 $58.90 $268.89 $544.17
Nevada 2 $329.85 $329.85 $365.25
New Hampshire 1 $1,425.12 $1,425.12 $1,425.12
New Jersey 21 not published by hospital not published by hospital not published by hospital
New Mexico 1 not published by hospital not published by hospital not published by hospital
New York 21 $124.95 $124.95 $129.60
North Carolina 14 $76.53 $2,176.33 $2,176.33
North Dakota 2 $195.53 $195.53 $772.40
Ohio 53 $20.90 $517.65 $931.45
Oklahoma 10 $28.64 $28.64 $559.64
Oregon 11 $201.34 $405.72 $730.29
Pennsylvania 18 $17.40 $141.00 $702.00
South Carolina 8 $690.03 $690.03 $789.79
South Dakota 1 $546.96 $546.96 $546.96
Tennessee 22 $259.00 $305.23 $403.80
Texas 97 $22.86 $507.60 $2,581.93
Virginia 19 $191.12 $523.76 $2,785.00
Washington 23 $42.16 $393.65 $1,114.38
West Virginia 5 $32.54 $56.80 $73.78
Wisconsin 23 $22.30 $22.30 $134.57

All hospitals

Hospital Location Cash price Negotiated range
HSHS St. Mary's Hospital DECATUR, IL $17.26 $2.06 – $23.64
UPMC Williamsport Williamsport, PA $17.40 $2.54 – $2.80
UPMC Wellsboro Wellsboro, PA $17.40 $2.54 – $2.80
St. John's Camarillo Hospital Camarillo, CA $19.71 $1.49 – $35.10
Dublin Methodist Hospital Dublin, OH $20.90 $3.03 – $4.82
Doctors Hospital Columbus, OH $20.90 $3.03 – $4.82
Baptist Hospital MIAMI, FL $21.45 $5.71 – $29.70
Bethesda Hospital East BOYNTON BEACH, FL $21.45 $7.96 – $33.00
Doctors Hospital CORAL GABLES, FL $21.45 $5.78 – $29.70
Baptist Health Hospital Doral SOUTH MIAMI, FL $21.45 $5.74 – $29.70
Homestead Hospital HOMESTEAD, FL $21.45 $5.61 – $29.70
West Kendall Baptist Hospital MIAMI, FL $21.45 $5.64 – $29.70
HSHS St. Vincent Hospital Green Bay, WI $22.30 $1.60 – $2.24
Ascension Seton Northwest (Ascension Seton) Austin, TX $22.86 $0.90 – $0.90
Ascension Seton Medical Center Austin (Ascension Seton) Austin, TX $22.86 $0.90 – $0.90
Fishermens Community Hospital MARATHON, FL $23.40 $6.01 – $32.40
Mariners Hospital TAVERNIER, FL $23.40 $6.23 – $32.40
Emory Decatur Hospital Decatur, GA $25.49 not published
Emory Hillandale Hospital Lithonia, GA $25.49 not published
Emory Long-Term Acute Care Hospital Decatur, GA $25.49 not published
Emory Johns Creek Hospital Johns Creek, GA $25.49 not published
Emory Rehabilitation Hospital Atlanta, GA $25.49 not published
Emory Saint Joseph's Hospital Atlanta, GA $25.49 not published
Emory University Hospital Ne, GA $25.49 not published
Emory University Hospital Midtown Atlanta, GA $25.49 not published
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK $28.64 $19.78 – $19.78
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso, OK $28.64 $16.53 – $16.53
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK $28.64 $3.75 – $21.29
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK $28.64 $3.75 – $4.02
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa, OK $28.64 $15.60 – $15.60
UnityPoint Health - Allen Hospital Waterloo, IA $30.64 $0.94 – $10.38
Berkeley Medical Center Martinsburg, WV $32.54 not published
Thomas Hospitals South Charleston, WV $34.06 $1.29 – $1.29
MultiCare Allenmore Hospital Tacoma, WA $42.16 not published
UnityPoint Health - Iowa Lutheran Hospital Des Moines, IA $51.64 $0.94 – $6.63
Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) Pensacola, FL $54.40 $2.10 – $5.89
RIDEOUT MEMORIAL HOSPITAL Marysville, CA $55.21 $1.02 – $311.18
Camden Clark Medical Center Parkersburg, WV $56.80 $2.06 – $2.06
Uniontown Hospital Uniontown, PA $57.89 $2.06 – $2.06
CHI Health Nebraska Heart Lincoln, NE $58.90 $1.64 – $9.00
Grant Memorial Hospital Petersburg, WV $61.24 not published
CHI Health St. Elizabeth Lincoln, NE $64.02 $1.64 – $8.78
Adventhealth Central Texas Killeen, TX $66.58 $9.09 – $9.09
Adventhealth Rollins Brook Lampasas, TX $66.58 $9.09 – $9.09
Parkview Bryan Hospital Bryan, OH $69.36 not published
Parkview Montpelier Hospital Montpelier, OH $69.36 not published
West Virginia University Hospitals Morgantown, WV $73.78 $1.29 – $1.29
CHI Health St. Francis Grand Island, NE $75.55 $1.64 – $10.32
AdventHealth Polk Columbus, NC $76.53 $2.47 – $2.47
MultiCare Yakima Memorial Hospital Yakima, WA $76.77 $4.09 – $4.09

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