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 |
|---|---|---|---|
| Baptist Health Corbin | Corbin, KY | $1,292.18 | $2.49 – $16.46 |
| Baptist Health La Grange | La Grange, KY | $1,292.18 | $2.49 – $16.46 |
| Baptist Health Lexington | Lexington, KY | $1,292.18 | $1.28 – $16.73 |
| Baptist Health Louisville | Louisville, KY | $1,292.18 | $2.24 – $16.46 |
| Baptist Health Paducah | Paducah, KY | $1,292.18 | $2.11 – $16.46 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $1,315.30 | not published |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | $1,328.00 | $2.05 – $3.48 |
| French Hospital | San Luis Obispo, CA | $1,404.54 | $1.27 – $3,511.34 |
| MaineHealth - Memorial Hospital | North Conway, NH | $1,425.12 | $0.78 – $662.92 |
| Woodland Memorial Hospital | Woodland, CA | $1,431.65 | $1.27 – $129.00 |
| Mercy San Juan Medical Center | Carmichael, CA | $1,431.65 | $1.27 – $107.07 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $1,440.25 | $1.89 – $1.89 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $1,440.25 | $1.89 – $1.89 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $1,440.25 | $1.89 – $1.89 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $1,440.25 | $1.86 – $1.89 |
| St. Mary Medical Center | Long Beach, CA | $1,519.19 | $1.14 – $3,533.00 |
| Arroyo Grande Hospital | Santa Maria, CA | $1,533.53 | $1.29 – $879.06 |
| Abbott Northwestern Hospital | MN 55407, MN | $1,854.89 | $1.36 – $1.81 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $1,854.89 | $1.36 – $1.81 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $1,854.89 | $1.36 – $2.18 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $1,908.04 | $1.49 – $101.12 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $1,928.83 | $1.27 – $102.40 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $1,954.23 | $0.90 – $0.90 |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $1,977.15 | not published |
| Allina Health Faribault Medical Center | Faribualt, MN | $2,164.04 | $1.36 – $3.79 |
| Buffalo Hospital | Buffalo, MN | $2,164.04 | $1.36 – $3.79 |
| Cambridge Medical Center | Cambridge, MN | $2,164.04 | $1.36 – $3.79 |
| River Falls Area Hospital | River Falls, MN | $2,164.04 | $1.34 – $155.51 |
| Owatonna Hospital | Owatonna, MN | $2,164.04 | $1.36 – $3.79 |
| Atrium Health Anson | Wadesboro, NC | $2,176.33 | $67.32 – $427.50 |
| Atrium Health Mercy | Charlotte, NC | $2,176.33 | $0.87 – $414.00 |
| Atrium Health Pineville | Charlotte, NC | $2,176.33 | $45.00 – $414.00 |
| Atrium Health Stanly | Albermarle, NC | $2,176.33 | $54.00 – $432.00 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $2,176.33 | $85.50 – $450.00 |
| Atrium Health Cleveland | Shelby, NC | $2,176.33 | $63.00 – $427.50 |
| Atrium Health Cabarrus | Concord, NC | $2,176.33 | $55.22 – $427.50 |
| Atrium Health Lincoln | Lincolnton, NC | $2,176.33 | $50.76 – $427.50 |
| Atrium Health Union | Monroe, NC | $2,176.33 | $58.50 – $427.50 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $2,176.33 | $126.95 – $414.00 |
| Atrium Health University City | Charlotte, NC | $2,176.33 | $45.00 – $414.00 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $2,176.33 | $0.87 – $405.00 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | $2,269.47 | $3.48 – $6.33 |
| Mercy Medical Center Redding | Redding, CA | $2,281.50 | $1.27 – $57.82 |
| RESTON HOSPITAL CENTER | VIENNA, VA | $2,455.57 | $1.16 – $3.31 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | $2,533.65 | $2.05 – $2.11 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | $2,581.93 | $2.05 – $8.14 |
| Mercy Medical Center Merced | Merced, CA | $2,623.41 | $1.27 – $47.94 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $2,705.38 | $1.42 – $119.56 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI, VA | $2,785.00 | $1.58 – $3.31 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | $2,869.00 | $2.05 – $4.54 |
Related drugs procedures
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- Abciximab injection from $354.77
- Abobotulinumtoxina from $51.15
- Acetaminophen 10 mg/ml soln 100 ml glass cont from $3.00
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- Acetylcysteine 200 mg/ml (20 %) intravenous solution from $12.60