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 |
|---|---|---|---|
| Soin Medical Center | Beaver Creek, OH | not published | $1.83 – $3.54 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $1.83 – $3.54 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $1.83 – $3.54 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $1.83 – $3.54 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $1.50 – $2.43 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $1.29 – $7.56 |
| MUSC Health Florence Medical Center | Florence, SC | not published | $1.50 – $2.43 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $1.50 – $7.56 |
| MUSC Health Main Campus - Charleston | Charleston, SC | not published | $1.28 – $2.52 |
| MUSC Health Black River Medical Center | Cades, SC | not published | $1.50 – $2.43 |
| Virginia Mason Medical Center | Seattle, WA | not published | $2.24 – $6.48 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $4.20 – $4.20 |
| Gouverneur Hospital | Gouverneur, NY | not published | $1.27 – $4.20 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | not published | $1.25 – $4.20 |
| Newark Wayne Community Hospital | Newark, NY | not published | $1.23 – $4.83 |
| The Unity Hospital of Rochester | Rochester, NY | not published | $1.23 – $4.20 |
| Rochester General Hospital | Rochester, NY | not published | $1.23 – $4.83 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $2.11 – $2.11 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $3.15 – $9.20 |
| Houston Methodist Continuing Care Hospital | Katy, TX | not published | $4.08 – $7.51 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $3.15 – $9.20 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $3.15 – $9.20 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $3.15 – $9.20 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $3.15 – $9.20 |
| Houston Methodist West Hospital | Houston, TX | not published | $3.15 – $9.20 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $3.15 – $9.20 |
| Houston Methodist Hospital | Houston, TX | not published | $3.15 – $9.20 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | not published | $1.25 – $1.25 |
| OSF Saint Francis Medical Center | Peoria, IL | not published | $1.06 – $1.06 |
| OSF Saint Anthony's Health Center | Alton, IL | not published | $3.26 – $3.26 |
| OSF Saint Anthony Medical Center | Rockford, IL | not published | $1.06 – $1.06 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $1.27 – $9.20 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $1.27 – $27.90 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $0.50 – $639.20 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $0.82 – $5.88 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $1.27 – $27.90 |
| Claiborne Medical Center | Tazewell, TN | not published | $0.54 – $2.98 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $1.27 – $6.51 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $0.82 – $6.99 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $0.82 – $7.50 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $1.27 – $10.41 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $1.27 – $9.06 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $1.27 – $4.04 |
| CHRISTUS Trinity Mother Frances Hospital - South Tyler | Tyler, TX | not published | $1.27 – $4.04 |
| CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs | Sulphur Springs, TX | not published | $6.54 – $6.54 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $1.27 – $4.04 |
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler, TX | not published | $1.27 – $4.04 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $0.50 – $639.20 |
| Kadlec Regional Medical Center | Richland, WA | not published | $2.43 – $5.34 |
| Providence Milwaukie Hospital | Milwaukie, OR | not published | $1.48 – $5.34 |
Related drugs procedures
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- 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