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
Memorial Regional Hospital Mechanicsville, VA $286.16 not published
LeConte Medical Center Sevierville, TN $295.05 $0.54 – $724.27
CHI Saint Joseph Health - Saint Joseph Berea Berea, KY $295.36 $1.09 – $557.57
Providence Medford Medical Center Medford, OR $295.62 not published
Adventhealth Carrollwood Tampa, FL $296.15 not published
62-1166050 BMH Carroll County Huntingdon, TN $297.85 $0.95 – $4.31
64-0772726 BMH North Mississippi Oxford, MS $297.85 $1.62 – $1.62
Adventhealth Shawnee Mission Shawnee Mission, KS $298.27 not published
Adventhealth South Overland Park Overland Park, KS $298.27 not published
Adventhealth Ottawa Ottawa, KS $298.27 not published
Swedish Issaquah Issaquah, WA $303.88 $0.55 – $3.07
Methodist Charlton Medical Center Dallas, TX $304.12 $225.62 – $225.62
Parkwest Medical Center Knoxville, TN $305.23 $0.54 – $724.27
Morristown-Hamblen Hospital Association Morristown, TN $305.23 $0.54 – $724.27
CHI Health Mercy Corning Corning, IA $307.30 $1.28 – $111.00
CHI Saint Joseph Health - Saint Joseph Hospital Lexington, KY $308.58 $1.09 – $557.57
AdventHealth Parker Parker, CO $310.78 $1.68 – $4.45
AdventHealth Littleton Littleton, CO $310.78 $1.68 – $4.45
AdventHealth Avista Louisville, CO $310.78 $1.68 – $4.45
AdventHealth Porter Denver, CO $310.78 $1.68 – $4.45
AdventHealth Castle Rock Castle Rock, CO $310.78 $1.68 – $4.45
64-0663760 BMH Booneville Booneville, MS $310.80 $1.62 – $1.62
Methodist Richardson Medical Center Richardson, TX $311.50 $225.62 – $225.62
Mercy Orthopedic Hospital Springfield Ozark, MO $312.65 $50.00 – $180.69
CHI Health Missouri Valley Missouri Valley, IA $313.70 $1.28 – $111.00
Yavapai Regional Medical Center (East) Prescott, AZ $316.84 $1.82 – $405.65
62-1519754 BMH Golden Triangle Columbus, MS $323.75 $1.62 – $1.62
Mercy Orthopedic Hospital Fort Smith Fort Smith, AR $325.00 $58.00 – $2,483.38
Cumberland Medical Center, Inc. Crossville, TN $325.58 $0.64 – $724.27
Adventhealth North Pinellas Tarpon Springs, FL $329.63 not published
San Martin Hospital Las Vegas, NV $329.85 $0.71 – $1,110.21
Roane County Medical Center Harriman, TN $335.75 $0.54 – $724.27
Fort Loudoun Medical Center Lenoir City, TN $335.75 $0.54 – $724.27
Fort Sanders Regional Medical Center Knoxville, TN $335.75 $0.54 – $724.27
Methodist Medical Center of Oak Ridge Oak Ridge, TN $335.75 $0.54 – $724.27
MID-COLUMBIA MEDICAL CENTER The Dalles, OR $336.00 $699.60 – $2,104.28
Adventhealth Connerton Land O Lakes, FL $338.43 not published
RESEARCH MEDICAL CENTER Kansas City, MO $342.17 $1.25 – $2.11
RESEARCH PSYCHIATRIC CENTER Kansas City, MO $342.17 $1.27 – $2.11
Adventhealth Ocala Ocala, FL $343.05 not published
Adventhealth Lake Wales Lake Wales, FL $343.05 not published
Moanalua Medical Center HONOLULU, HI $357.99 $1.30 – $1.30
New Ulm Medical Center MN 56073, MN $360.04 $1.36 – $167.81
Siena Hospital Henderson, NV $365.25 $0.71 – $1,110.21
Mercy Hospital Lincoln Troy, MO $381.89 $66.80 – $66.80
Providence St Mary Medical Center Walla Walla, WA $383.23 $3.92 – $6.59
Providence St Joseph Medical Center Polson, MT $384.16 $3.02 – $4.14
Northridge Hospital Medical Center Northridge, CA $385.86 $0.87 – $1,383.00
CHI Memorial Hospital Chattanooga Chattanooga, TN $388.39 $1.07 – $382.92
Swedish Medical Center Cherry Hill Seattle, WA $393.65 $0.55 – $3.07

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