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.
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 |
|---|---|---|---|
| St. Elizabeth Community Hospital | Red Bluff, CA | $3,358.00 | $1.27 – $181.30 |
| MENORAH MEDICAL CENTER | Overland Park, KS | not published | $1.25 – $2.11 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $1.25 – $2.11 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $1.25 – $1.30 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $2.05 – $3.48 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $2.05 – $3.48 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | not published | $2.05 – $4.54 |
| HCA FLORIDA TWIN CITIES HOSPITAL | DEFUNIAK SPRINGS, FL | not published | $2.05 – $6.33 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $2.05 – $4.54 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | not published | $2.05 – $6.33 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $2.05 – $6.33 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $2.05 – $6.33 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | not published | $2.05 – $4.54 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | not published | $2.11 – $3.48 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES, FL | not published | $2.05 – $4.54 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $2.05 – $4.54 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $2.05 – $6.33 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | not published | $2.05 – $6.33 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | not published | $2.05 – $4.54 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | not published | $2.05 – $4.54 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | not published | $2.05 – $4.54 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD, CO | not published | $1.69 – $6.33 |
| HCA HealthONE SKY RIDGE | Lone Tree, CO | not published | $1.67 – $6.33 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver, CO | not published | $1.80 – $3.48 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | not published | $1.38 – $6.33 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $2.11 – $4.63 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $2.11 – $4.63 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $2.11 – $4.63 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $2.11 – $4.63 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $2.11 – $4.63 |
| TRICITIES HOSPITAL | HOPEWELL, VA | not published | $1.33 – $5.59 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | not published | $1.16 – $3.31 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | not published | $1.33 – $3.31 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG, VA | not published | $1.79 – $3.31 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR, VA | not published | $1.79 – $3.31 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $0.50 – $9.06 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $1.21 – $5.59 |
| STONECREST MEDICAL CENTER | Smyrna, TN | not published | $1.21 – $5.59 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $1.21 – $5.59 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | not published | $1.21 – $5.59 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $1.21 – $5.59 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $1.21 – $5.59 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $1.21 – $5.59 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN, KY | not published | $2.06 – $2.07 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $2.05 – $8.14 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $2.05 – $8.14 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $2.05 – $8.14 |
| Kettering Health Troy | Troy, OH | not published | $1.83 – $3.54 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $1.83 – $3.54 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $1.83 – $3.54 |
Related drugs procedures
- Abatacept (with maltose) 250 mg intravenous solution from $141.66
- Abciximab injection from $354.77
- Abobotulinumtoxina from $51.15
- Acetaminophen 10 mg/ml soln 100 ml glass cont from $3.00
- Acetazolamide 500 mg solution for injection from $6.30
- Acetylcysteine 200 mg/ml (20 %) intravenous solution from $12.60