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 |
|---|---|---|---|
| Wellstar West Georgia Medical Center | Lagrange, GA | not published | $3.39 – $3.39 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | not published | $3.39 – $3.39 |
| Wellstar Spalding Regional Hospital | Griffin, GA | not published | $3.39 – $3.39 |
| North Central Bronx | Bronx, NY | not published | $1.00 – $4.07 |
| Wellstar Paulding Hospital | Hiram, GA | not published | $3.39 – $3.39 |
| Wellstar North Fulton Hospital | Roswell, GA | not published | $3.39 – $3.39 |
| Corewell Health Wayne | Wayne, MI | not published | $2.10 – $2.10 |
| Corewell Health Troy | Troy, MI | not published | $2.10 – $2.50 |
| Corewell Health Trenton | Trenton, MI | not published | $2.10 – $2.10 |
| Corewell Health Taylor | Taylor, MI | not published | $2.10 – $2.10 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $2.10 – $2.52 |
| Corewell Health Zeeland | Zeeland, MI | not published | $1.39 – $1.39 |
| Corewell Health Greenville | Greenville, MI | not published | $1.39 – $1.39 |
| Corewell Health Reed City | Po Box 75, MI | not published | $1.39 – $1.39 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | not published | $4.96 – $4.96 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $1.39 – $1.39 |
| Aurora West Allis Medical Center | West Allis, WI | not published | $1.27 – $4.35 |
| Aurora Medical Center Washington County | Hartford, WI | not published | $1.27 – $4.35 |
| Aurora Medical Center Summit | Summit, WI | not published | $1.27 – $4.35 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | not published | $1.27 – $4.35 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $1.27 – $4.35 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | not published | $1.27 – $4.35 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | not published | $1.27 – $4.35 |
| Aurora Medical Center Kenosha | Kenosha, WI | not published | $1.27 – $4.35 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | not published | $1.27 – $4.35 |
| Aurora Medical Center Grafton | Grafton, WI | not published | $1.27 – $4.35 |
| Aurora Medical Center Burlington | Burlington, WI | not published | $1.27 – $4.35 |
| Aurora Medical Center Bay Area | Marinette, WI | not published | $1.27 – $4.35 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $2.96 – $10.27 |
| Aurora Baycare Medical Center | Green Bay, WI | not published | $1.27 – $4.35 |
| South Brooklyn Health | Brooklyn, NY | not published | $1.00 – $4.07 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | not published | $0.83 – $2.03 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $1.39 – $1.39 |
| Providence Willamette Falls Medical Center | Oregon City, OR | not published | $1.48 – $5.34 |
| Corewell Health Gerber | Fremont, MI | not published | $1.39 – $1.39 |
| Corewell Health Big Rapids | Big Rapids, MI | not published | $1.39 – $1.39 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | not published | $1.84 – $3.29 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | not published | $1.84 – $3.29 |
| Wellstar MCG Health | Augusta, GA | not published | $3.39 – $3.39 |
| Wellstar Kennestone Hospital | Marietta, GA | not published | $3.39 – $3.39 |
| Wellstar Douglas Hospital | Douglasville, GA | not published | $3.39 – $3.39 |
| Wellstar Cobb Hospital | Austell, GA | not published | $3.39 – $3.39 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $1.28 – $2.04 |
| CHRISTUS St. Vincent Regional Medical Center | Santa Fe, NM | not published | $1.98 – $51.59 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $0.85 – $3.09 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $0.85 – $2.58 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $0.85 – $3.49 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $0.85 – $3.49 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $1.40 – $4.55 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $0.85 – $1.00 |
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