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
BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON Denton, TX $664.50 $2.32 – $941.38
BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY McKinney, TX $664.50 $2.32 – $941.38
BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE Waxahachie, TX $664.50 $2.32 – $941.38
BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE Waxahachie, TX $664.50 $2.32 – $941.38
St. Elizabeth Hospital Enumclaw, WA $672.23 $2.06 – $499.37
Pen Bay Medical Center Rockport, ME $676.16 $0.78 – $635.59
St Mary's Hospital Richmond, VA $681.72 not published
St Francis Eastside Greenville, SC $690.03 not published
St Joseph Warren Hospital Warren, OH $694.20 not published
UPMC Cole Coudersport, PA $702.00 $0.91 – $936.00
HCA HealthONE AURORA Aurora, CO $720.85 $1.54 – $6.33
Providence Seaside Hospital Seaside, OR $730.29 not published
Providence Portland Medical Center Portland, OR $730.29 $1.48 – $5.34
Providence Hood River Memorial Hospital Hood River, OR $730.29 not published
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest, IL $742.52 not published
Sanford Fargo Medical Center Fargo, ND $772.40 $1.00 – $86.63
St Francis Downtown Greenville, SC $789.79 not published
St Francis Medical Center Midlothian, VA $789.79 not published
Providence Alaska Medical Center Anchorage, AK $792.18 $13.15 – $13.15
St. Michael Medical Center Silverdale, WA $839.60 $1.88 – $499.37
akron general Akron, OH $931.45 $2.17 – $467.32
avon hospital Avon, OH $931.45 $2.23 – $467.32
cleveland clinic florida weston hospital Weston, FL $931.45 $1.05 – $441.35
cleveland clinic childrens hospital for rehabilitation Cleveland, OH $931.45 $146.84 – $467.32
euclid hospital Euclid, OH $931.45 $2.23 – $467.32
fairview hospital Cleveland, OH $931.45 $2.17 – $467.32
lutheran hospital Cleveland, OH $931.45 $2.23 – $467.32
hillcrest hospital Mayfield Heights, OH $931.45 $2.17 – $467.32
lodi hospital Lodi, OH $931.45 $146.84 – $467.32
martin north hospital Stuart, FL $931.45 $1.36 – $389.43
marymount hospital Garfield Heights, OH $931.45 $2.23 – $467.32
indian river hospital Vero Beach, FL $931.45 $1.36 – $415.39
medina hospital Medina, OH $931.45 $2.23 – $467.32
mercy hospital Canton, OH $931.45 $2.17 – $467.32
south pointe hospital Warrensville Heights, OH $931.45 $2.23 – $467.32
Ascension Seton Smithville (Ascension Seton) Smithville, TX $1,005.03 $0.90 – $0.90
Dell Seton Medical Center at The University of Texas (Ascension Seton) Austin, TX $1,005.03 $0.90 – $0.90
Covenant Medical Center Lubbock, TX $1,021.07 $2.96 – $10.27
Covenant Children's Hospital Lubbock, TX $1,021.07 $2.96 – $9.42
Sequoia Hospital Redwood City, CA $1,043.23 $1.12 – $2,350.12
Providence Holy Family Hospital Spokane, WA $1,114.38 $0.55 – $3.92
Providence Sacred Heart Medical Center and Children's Hospital Spokane, WA $1,114.38 $0.55 – $3.92
Mercy General Hospital Sacramento, CA $1,139.05 $1.12 – $103.20
Glendale Memorial Hospital Health Center Glendale, CA $1,207.83 $1.27 – $2,964.00
St. Joseph's Medical Center Stockton Stockton, CA $1,248.03 $0.94 – $86.10
Emory Hospital Perry Perry, GA $1,253.88 not published
Emory Hospital Warner Robins Warner Robins, GA $1,253.88 not published
Dominican Hospital Santa Cruz, CA $1,289.70 $1.08 – $2,436.10
Baptist Health Floyd New Albany, IN $1,292.18 $0.93 – $12.35
Baptist Health Hardin Elizabethtown, KY $1,292.18 $1.59 – $16.46

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