healthcosts.net

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
Downey Medical Center Downey, CA $248.20 $1.34 – $1.34
San Bernardino - Fontana Medical Center FONTANA, CA $248.20 $1.34 – $1.34
Riverside Medical Center RIVERSIDE, CA $248.20 $1.34 – $1.34
South Bay Medical Center HARBOR CITY, CA $248.20 $1.34 – $1.34
San Marcos Medical Center SAN MARCOS, CA $248.20 $1.34 – $1.34
West Los Angeles Medical Center LOS ANGELES, CA $248.20 $1.34 – $1.34
Woodland Hills Medical Center WOODLAND HILLS, CA $248.20 $1.34 – $1.34
Panorama Medical Center PANORAMA CITY, CA $248.20 $1.34 – $1.34
San Diego Clairemont Mesa Medical Center SAN DIEGO, CA $248.20 $1.34 – $1.34
Los Angeles Sunset Medical Center LOS ANGELES, CA $248.20 $1.34 – $1.34
Moreno Valley Medical Center MORENO VALLEY, CA $248.20 $1.34 – $1.34
Rappahannock General Hospital Kilmarnock, VA $249.41 not published
Smyth County Community Hospital MARION, VA $253.57 $4.47 – $27.35
62-1138045 BMH Union City Union City, TN $259.00 $0.95 – $1.62
64-0682111 BMH DeSoto Southaven, MS $259.00 $1.61 – $1.62
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown, KY $259.97 $2.10 – $557.57
Redwood City Medical Center Redwood City, CA $267.29 $1.34 – $1.34
Oakland Medical Center Oakland, CA $267.29 $1.34 – $1.34
Sacramento Medical Center SACRAMENTO, CA $267.29 $1.34 – $1.34
San Leandro Medical Center SAN LEANDRO, CA $267.29 $1.34 – $1.34
Santa Clara Medical Center SANTA CLARA, CA $267.29 $1.34 – $1.34
San Rafael Medical Center SAN RAFAEL, CA $267.29 $1.34 – $1.34
Santa Rosa Medical Center SANTA ROSA, CA $267.29 $1.34 – $1.34
South San Francisco Medical Center SOUTH SAN FRANCISCO, CA $267.29 $1.34 – $1.34
South Sacramento Medical Center SACRAMENTO, CA $267.29 $1.34 – $1.34
Vacaville Medical Center VACAVILLE, CA $267.29 $1.34 – $1.34
Walnut Creek Medical Center WALNUT CREEK, CA $267.29 $1.34 – $1.34
Vallejo Medical Center VALLEJO, CA $267.29 $1.34 – $1.34
Antioch Medical Center ANTIOCH, CA $267.29 $1.34 – $1.34
Fremont Medical Center FREMONT, CA $267.29 $1.34 – $1.34
Fresno Medical Center FRESNO, CA $267.29 $1.34 – $1.34
Roseville Medical Center ROSEVILLE, CA $267.29 $1.34 – $1.34
San Jose Medical Center SAN JOSE, CA $267.29 $1.34 – $1.34
San Francisco Medical Center SAN FRANCISCO, CA $267.29 $1.34 – $1.34
CHI Health Mercy Council Bluffs Council Bluffs, IA $268.89 $1.28 – $96.28
CHI Health Creighton University Medical Center - Bergan Mercy Omaha, NE $268.89 $1.64 – $96.28
Lasting Hope Recovery Center Omaha, NE $268.89 $2.53 – $96.28
CHI Health Immanuel Omaha, NE $268.89 $1.64 – $96.28
CHI Health Lakeside Omaha, NE $268.89 $1.64 – $96.28
CHI Health Midlands Papillion, NE $268.89 $1.64 – $96.28
Providence St Peter Hospital Olympia, WA $269.34 $3.07 – $4.08
CHI Memorial Hospital - Georgia Ringgold, GA $271.78 $1.25 – $443.09
CHI Memorial Hospital Hixson Hixson, TN $271.78 $1.07 – $382.92
62-0123940 BMH Collierville Collierville, TN $271.95 $1.61 – $4.31
64-0881013 MBMC Jackson Jackson, MS $271.95 $1.70 – $1.70
Northwestern Medicine Kishwaukee Hospital DeKalb, IL $276.15 not published
Adventhealth Dade City Dade City, FL $276.29 not published
Adventhealth Manchester Manchester, KY $279.80 not published
64-0362400 Anderson Regional Main Campus Meridian, MS $284.90 $1.62 – $1.62
Adventhealth Tampa Tampa, FL $285.31 not published

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