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
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

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