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

$17.40

lowest cash price

$130.80

national median

$517.65

highest cash price

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $17.40–$517.65 — the variation is the story.

Cheapest published cash price

$17.40

Most expensive published cash price

$517.65

Median cash price over time

Mar 1, 2026 ($130.80) → Jul 1, 2026 ($517.65)

State	Hospitals	Lowest cash	Median	Highest
Ohio	3	$517.65	$517.65	$517.65
Pennsylvania	8	$17.40	$130.80	$141.00

Hospital	Location	Cash price	Negotiated range
UPMC Wellsboro	Wellsboro, PA	$17.40	$2.54 – $26.10
UPMC Williamsport	Williamsport, PA	$17.40	$2.54 – $26.10
UPMC Northwest	Seneca, PA	$96.00	$0.59 – $76.37
UPMC Passavant-McCandless	Pittsburgh, PA	$130.80	$1.60 – $145.35
UPMC Western Psychiatric	Pittsburgh, PA	$130.80	$2.54 – $185.30
UPMC Mercy	Pittsburgh, PA	$136.80	$0.59 – $55.71
UPMC Somerset	Somerset, PA	$141.00	$0.91 – $55.14
University Hospitals Geneva Medical Center	Geneva, OH	$517.65	$4.33 – $101.88
University Hospitals St. John Medical Center	Westlake OH, OH	$517.65	$2.25 – $101.88
University Hospitals Samaritan Medical Center	Ashland, OH	$517.65	$3.26 – $7.02
UPMC St. Margaret	Pittsburgh, PA	not published	$0.59 – $56.24