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 |
|---|---|---|---|
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $517.65 | $3.84 – $3.84 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $517.65 | $3.02 – $101.88 |
| 64-0362400 Anderson Regional South Campus | Meridian, MS | $518.00 | $1.62 – $1.62 |
| Southampton Medical Center | Franklin, VA | $523.76 | not published |
| CHI Health Plainview | Plainview, NE | $537.77 | $69.09 – $153.38 |
| CHI Health Schuyler | Schuyler, NE | $544.17 | $24.27 – $128.24 |
| Maryview Hospital | Portsmouth, VA | $544.54 | not published |
| Harbour View Medical Center | Suffolk, VA | $544.54 | not published |
| Sanford USD Medical Center | Sioux Falls, SD | $546.96 | $1.00 – $336.57 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | $548.00 | $2.05 – $6.33 |
| St. Clare Hospital | Lakewood, WA | $548.34 | $31.89 – $416.14 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $559.64 | $71.20 – $222.08 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $570.18 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $570.18 | $244.07 – $663.57 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $570.18 | $259.32 – $556.79 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $570.18 | $25.54 – $358.48 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $570.18 | not published |
| St. Anthony Hospital | Gig Harbor, WA | $578.60 | $31.89 – $416.14 |
| St. Anne Hospital | Burien, WA | $580.90 | $38.22 – $499.37 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $589.67 | $1.57 – $1,845.69 |
| St. Francis Hospital | Federal Way, WA | $597.01 | $31.89 – $416.14 |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $601.30 | not published |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | $607.81 | $2.11 – $4.63 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $613.69 | $2.55 – $40.15 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $625.65 | $27.03 – $115.00 |
| Northwestern Memorial Hospital | Chicago, IL | $630.00 | not published |
| St. Joseph Medical Center | Tacoma, WA | $630.06 | $31.89 – $416.14 |
| Stephens Memorial Hospital | Norway, ME | $630.94 | $0.78 – $377.34 |
| Franklin Memorial Hospital | Farmington, ME | $638.70 | $0.78 – $330.12 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $643.90 | $23.12 – $115.00 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $643.90 | $23.12 – $115.00 |
| St. Bernardine Medical Center | San Bernardino, CA | $654.02 | $1.79 – $1,610.48 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $664.50 | $2.32 – $941.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $664.50 | $2.32 – $996.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $664.50 | $2.32 – $830.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $664.50 | $2.32 – $941.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $664.50 | $2.32 – $996.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $664.50 | $2.32 – $996.75 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $664.50 | $2.32 – $941.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $664.50 | $2.32 – $941.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $664.50 | $2.32 – $941.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $664.50 | $2.32 – $941.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $664.50 | $2.32 – $941.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $664.50 | $2.32 – $941.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $664.50 | $3.31 – $941.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $664.50 | $2.32 – $996.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $664.50 | $2.32 – $941.38 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $664.50 | $2.32 – $996.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $664.50 | $2.32 – $886.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $664.50 | $2.32 – $996.75 |
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