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 |
|---|---|---|---|
| Covenant Hospital Levelland | Levelland, TX | not published | $8.76 – $8.76 |
| SSM Health Ripon Community Hospital | Ripon, WI | not published | $1.40 – $4.85 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $1.27 – $3.82 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | not published | $0.83 – $2.19 |
| Hardin Memorial Hospital | Kenton, OH | not published | $3.03 – $11.57 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $1.28 – $2.04 |
| Monmouth Medical Center | Long Branch, NJ | not published | $0.83 – $2.19 |
| Jersey City Medical Center | Jersey City, NJ | not published | $0.83 – $36.13 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | not published | $1.37 – $1.56 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $1.00 – $1.00 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $1.02 – $1.02 |
| Redwood Memorial Hospital | Fortuna, CA | not published | $2.68 – $48.34 |
| Healdsburg Hospital | Healdsburg, CA | not published | $3.56 – $95.23 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $1.37 – $1.56 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $0.83 – $2.19 |
| Providence St Joseph Hospital Eureka | Eureka, CA | not published | $2.68 – $48.22 |
| Queen of The Valley Medical Center | Napa, CA | not published | $2.55 – $40.43 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | not published | $1.37 – $1.56 |
| Clara Maass Medical Center | Belleville, NJ | not published | $0.83 – $2.19 |
| Community Medical Center | Toms River, NJ | not published | $0.83 – $2.14 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | not published | $0.94 – $3.54 |
| Covenant Hospital Plainview | Plainview, TX | not published | $8.76 – $8.76 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $2.53 – $122.55 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | not published | $0.94 – $3.54 |
| Southeastern Medical Center | Cambridge, OH | not published | $3.03 – $11.57 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | not published | $0.94 – $3.98 |
| Berger Hospital | Circleville, OH | not published | $2.44 – $11.57 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | not published | $0.94 – $3.98 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | not published | $0.94 – $3.54 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | not published | $0.94 – $3.54 |
| UnityPoint Health - Meriter Hospital | Madison, WI | not published | $0.94 – $1.34 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | not published | $0.94 – $3.54 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $2.53 – $127.56 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | not published | $0.94 – $3.54 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | not published | $1.36 – $3.29 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $1.55 – $143.29 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $4.01 – $4.01 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | not published | $0.94 – $3.54 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $1.28 – $2.04 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | not published | $0.94 – $3.98 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $2.02 – $88.26 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $1.55 – $139.97 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $0.83 – $27.92 |
| Lincoln Health | Damariscotta, ME | not published | $0.78 – $3.52 |
| Wellstar Windy Hill Hospital | Marietta, GA | not published | $3.39 – $3.39 |
| Garrett Regional Medical Center | Oakland, MD | not published | not published |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $1.27 – $8.14 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | not published | $1.94 – $1.94 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | not published | $1.28 – $1.28 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $1.23 – $8.14 |
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