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.

Cheapest published cash price

$17.26

HSHS St. Mary's Hospital — DECATUR, IL

Most expensive published cash price

$3,358.00

St. Elizabeth Community Hospital — Red Bluff, CA

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
CHI Health Good Samaritan Kearney, NE $78.11 $1.64 – $10.21
Adventhealth Palm Coast Palm Coast, FL $84.33 not published
Adventhealth Palm Coast Parkway Palm Coast, FL $84.33 not published
UPMC Horizon-Greenville Greenville, PA $84.60 $0.91 – $74.99
cleveland clinic main campus Cleveland, OH $87.29 $2.18 – $120.86
UPMC Northwest Seneca, PA $96.00 $1.60 – $76.37
CHI Health St. Mary's Nebraska City, NE $106.28 $2.35 – $10.54
WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA $110.10 $1.22 – $2,140.85
Adventhealth Fish Memorial Orange City, FL $114.37 not published
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne, IN $114.92 $2.68 – $4.22
Parkview DeKalb Hospital Auburn, IN $114.92 $3.30 – $5.08
Parkview Huntington Hospital Huntington, IN $114.92 $3.30 – $5.08
Parkview LaGrange Hospital Lagrange, IN $114.92 $3.30 – $5.08
Parkview Logansport Hospital Logansport, IN $114.92 $2.50 – $3.69
Parkview Wabash Hospital Wabash, IN $114.92 $3.30 – $5.08
Parkview Noble Hospital Kendallville, IN $114.92 $3.30 – $5.08
Parkview Ortho Hospital Fort Wayne, IN $114.92 $2.68 – $4.22
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City, IN $114.92 $3.30 – $5.08
Trinity Medical Center East Steubenville, OH $118.53 $1.78 – $10.01
Providence Regional Medical Center Everett - Colby Campus Everett, WA $123.90 $0.55 – $3.92
NewYork-Presbyterian Hudson Valley Hospital Cortlandt Manor, NY $124.95 $1.34 – $53.55
NewYork-Presbyterian Queens Flushing, NY $124.95 $1.34 – $38.20
NewYork-Presbyterian Columbia University Irving Medical Center New York, NY $124.95 $1.34 – $38.20
O'Bleness Hospital Athens, OH $125.12 $3.03 – $11.57
Adventhealth Daytona Beach Daytona Beach, FL $126.11 not published
UPMC Chautauqua Jamestown, NY $129.60 $1.09 – $194.40
UPMC Passavant-McCandless Pittsburgh, PA $130.80 $1.60 – $56.24
UPMC Western Psychiatric Pittsburgh, PA $130.80 $2.54 – $55.11
Lorain Hospital Lorain, OH $132.78 not published
Adventhealth Durand Durand, WI $134.57 not published
UPMC Mercy Pittsburgh, PA $136.80 $0.91 – $55.71
UPMC Community Osteopathic Harrisburg, PA $141.00 $2.22 – $92.76
UPMC Hanover Hanover, PA $141.00 $1.10 – $2.80
UPMC Lititz Lititz, PA $141.00 $1.10 – $2.80
UPMC Memorial York, PA $141.00 $1.10 – $45.40
UPMC Somerset Somerset, PA $141.00 $0.91 – $55.14
UPMC Carlisle Carlisle, PA $141.00 $1.10 – $14.45
Adventhealth Murray Po Box 1406, GA $143.57 not published
Adventhealth Gordon Calhoun, GA $143.57 not published
UPMC Hamot Erie, PA $144.60 $1.09 – $3.99
UPMC McKeesport Mckeesport, PA $144.80 $0.91 – $56.24
AdventHealth Deland Deland, FL $145.35 not published
Northwestern Medicine Palos Hospital Palos Heights, IL $146.65 not published
Adventhealth Redmond Rome, GA $148.18 $1.18 – $1.18
Tiffin Hospital Tiffin, OH $152.52 not published
Adventhealth Sebring Sebring, FL $158.06 not published
Adventhealth Wauchula Wauchula, FL $158.06 not published
CENTERPOINT MEDICAL CENTER Independence, MO $169.60 $1.25 – $2.11
Texas Health Hospital Mansfield Mansfield, TX $171.13 $4.77 – $4.77
Texas Health Huguley Hospital Fort Worth South Burleson, TX $171.13 $4.77 – $4.77

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