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 |
|---|---|---|---|
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $1.56 – $4.71 |
| Jacobi Medical Center | Bronx, NY | not published | $1.00 – $4.07 |
| Providence Centralia Hospital | Centralia, WA | not published | $4.94 – $9.33 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $1.00 – $4.07 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | not published | $0.83 – $29.56 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | not published | $0.83 – $2.64 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | $1.02 – $1.14 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | not published | $1.40 – $4.85 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | not published | $0.83 – $372.88 |
| Providence Newberg Medical Center | Newberg, OR | not published | $1.48 – $1.97 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | not published | $1.40 – $4.85 |
| Riverview Medical Center | Red Bank, NJ | not published | $1.02 – $2.41 |
| Palisades Medical Center | North Bergen, NJ | not published | $1.04 – $2.41 |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | $1.02 – $1.14 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $1.04 – $2.41 |
| Raritan Bay Medical Center | Perth Amboy, NJ | not published | $1.04 – $2.41 |
| UPMC St. Margaret | Pittsburgh, PA | not published | $1.60 – $56.24 |
| Queens Hospital Center | Jamaica, NY | not published | $1.00 – $4.07 |
| Corewell Health Pennock | Hastings, MI | not published | $1.39 – $1.39 |
| Ocean University Medical Center | Brick, NJ | not published | $1.02 – $2.41 |
| Hackensack University Medical Center | Hackensack, NJ | not published | $1.04 – $1.04 |
| Bayshore Medical Center | Holmdel, NJ | not published | $1.14 – $2.41 |
| Woodhull Medical Center | Brooklyn, NY | not published | $1.00 – $4.07 |
| Advocate Trinity Hospital | Chicago, IL | not published | $1.55 – $143.29 |
| Mid Coast Hospital | Brunswick, ME | not published | $0.78 – $3.52 |
| Harlem Hospital Center | New York, NY | not published | $1.00 – $4.07 |
| Waldo County General Hospital | Belfast, ME | not published | $0.78 – $3.52 |
| Spring Harbor Hospital | Westbrook, ME | not published | $0.78 – $2.24 |
| Metropolitan Hospital Center | New York, NY | not published | $1.00 – $4.07 |
| Lincoln Medical Center | Bronx, NY | not published | $1.00 – $4.07 |
| Kings County Hospital Center | Brooklyn, NY | not published | $1.00 – $4.07 |
| Bellevue Hospital Center | NY 10016, NY | not published | $1.00 – $4.07 |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $1.55 – $143.80 |
| Advocate Sherman Hospital | Elgin, IL | not published | $2.02 – $67.42 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $1.55 – $141.94 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $1.55 – $144.22 |
| Cooperman Barnabas Medical Center | Livingston, NJ | not published | $0.83 – $2.19 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | not published | $1.37 – $1.56 |
| Petaluma Valley Hospital | Petaluma, CA | not published | $2.55 – $37.35 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | not published | $2.57 – $7.87 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | not published | $1.37 – $1.56 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | not published | $1.37 – $1.56 |
| Van Wert Hospital | Van Wert, OH | not published | $2.28 – $11.57 |
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- Acetylcysteine 200 mg/ml (20 %) intravenous solution from $12.60