Cocaine 4 % nasal solution cost at US hospitals
COCAINE 4 % NASAL SOLUTION · HCPCS C9046
$37.76
lowest cash price
$630.04
national median
$4,991.13
highest cash price
317
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $37.76–$4,991.13 — the variation is the story.
Median cash price over time
Dec 1, 2025 ($450.90) → Sep 1, 2026 ($1,177.17)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 3 | $1,287.88 | $1,287.88 | $1,590.95 |
| Arizona | 3 | $393.08 | $614.76 | $669.74 |
| Arkansas | 3 | $866.72 | $2,195.69 | $3,234.00 |
| California | 66 | $133.85 | $630.04 | $1,606.45 |
| Colorado | 5 | $2,108.10 | $2,108.10 | $2,108.10 |
| Florida | 23 | $125.97 | $1,459.75 | $4,991.13 |
| Georgia | 16 | $74.54 | $1,507.80 | $2,401.79 |
| Hawaii | 1 | $843.81 | $843.81 | $843.81 |
| Illinois | 14 | $331.01 | $380.65 | $1,013.86 |
| Indiana | 9 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 24 | $331.01 | $673.20 | $3,354.90 |
| Kansas | 4 | $2,729.35 | $2,967.99 | $2,967.99 |
| Kentucky | 8 | $86.18 | $102.47 | $558.95 |
| Louisiana | 5 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 14 | not published by hospital | not published by hospital | not published by hospital |
| Minnesota | 14 | $281.84 | $602.39 | $702.78 |
| Mississippi | 7 | $1,155.62 | $1,386.75 | $4,622.50 |
| Missouri | 9 | $836.06 | $836.06 | $836.06 |
| Montana | 2 | $954.57 | $954.57 | $954.57 |
| Nebraska | 12 | $37.76 | $551.62 | $1,116.36 |
| Nevada | 2 | $270.81 | $270.81 | $299.87 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| 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 | 20 | $285.06 | $285.06 | $285.06 |
| North Carolina | 14 | $450.90 | $450.90 | $1,089.04 |
| North Dakota | 2 | $298.03 | $298.03 | $897.92 |
| Ohio | 50 | $99.24 | $125.97 | $1,453.50 |
| Oklahoma | 1 | $836.06 | $836.06 | $836.06 |
| Oregon | 10 | $956.32 | $1,248.66 | $1,542.50 |
| Pennsylvania | 3 | $414.80 | $414.80 | $1,018.20 |
| South Carolina | 10 | $492.00 | $492.00 | $2,393.43 |
| South Dakota | 1 | $284.81 | $284.81 | $284.81 |
| Tennessee | 22 | $74.54 | $1,040.83 | $1,955.08 |
| Texas | 77 | $88.14 | $529.20 | $2,407.90 |
| Virginia | 10 | $462.70 | $1,177.17 | $2,442.00 |
| Washington | 16 | $111.51 | $540.91 | $747.80 |
| West Virginia | 3 | $562.77 | $562.77 | $562.77 |
| Wisconsin | 12 | $2,337.58 | $2,337.58 | $2,337.58 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Nebraska Heart | Lincoln, NE | $37.76 | $19.71 – $67.32 |
| CHI Health St. Elizabeth | Lincoln, NE | $41.05 | $18.89 – $65.68 |
| CHI Health St. Francis | Grand Island, NE | $48.44 | $18.89 – $77.17 |
| CHI Health Good Samaritan | Kearney, NE | $50.08 | $17.24 – $76.35 |
| CHI Health St. Mary's | Nebraska City, NE | $68.14 | $17.59 – $78.81 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $74.54 | $1.58 – $66.64 |
| CHI Memorial Hospital Hixson | Hixson, TN | $74.54 | $1.13 – $57.59 |
| CHI Saint Joseph Health - Saint Joseph London | London, KY | $86.18 | $27.05 – $172.33 |
| St. Luke's Health - The Vintage Hospital | Houston, TX | $88.14 | $1.32 – $164.23 |
| Baylor St Luke's Medical Center | Houston, TX | $88.14 | $1.09 – $164.23 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $88.14 | $1.32 – $164.23 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $88.14 | $1.32 – $164.23 |
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $88.14 | $1.32 – $164.23 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling, KY | $88.51 | $39.64 – $172.33 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington, KY | $97.01 | $46.29 – $172.33 |
| Fairfield Hospital | Fairfield, OH | $99.24 | not published |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown, KY | $102.47 | $33.41 – $172.33 |
| CHI Memorial Hospital Chattanooga | Chattanooga, TN | $106.52 | $1.13 – $57.59 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $111.51 | $1.68 – $3.12 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea, KY | $116.42 | $52.25 – $172.33 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $121.63 | $44.49 – $172.33 |
| akron general | Akron, OH | $125.97 | $2.17 – $174.42 |
| avon hospital | Avon, OH | $125.97 | $3.79 – $174.42 |
| cleveland clinic florida weston hospital | Weston, FL | $125.97 | $4.66 – $164.73 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | $125.97 | $13.40 – $174.42 |
| euclid hospital | Euclid, OH | $125.97 | $3.79 – $174.42 |
| fairview hospital | Cleveland, OH | $125.97 | $2.17 – $174.42 |
| lutheran hospital | Cleveland, OH | $125.97 | $3.79 – $174.42 |
| hillcrest hospital | Mayfield Heights, OH | $125.97 | $2.17 – $174.42 |
| lodi hospital | Lodi, OH | $125.97 | $12.83 – $174.42 |
| martin north hospital | Stuart, FL | $125.97 | $40.31 – $145.35 |
| marymount hospital | Garfield Heights, OH | $125.97 | $3.79 – $174.42 |
| indian river hospital | Vero Beach, FL | $125.97 | $45.35 – $155.04 |
| medina hospital | Medina, OH | $125.97 | $3.79 – $174.42 |
| mercy hospital | Canton, OH | $125.97 | $2.17 – $174.42 |
| south pointe hospital | Warrensville Heights, OH | $125.97 | $3.79 – $174.42 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $133.85 | $1.72 – $5.12 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $133.85 | $1.72 – $5.90 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $133.85 | $1.72 – $6.27 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $133.85 | $1.72 – $6.02 |
| Providence Saint John's Health Center | Santa Monica, CA | $133.85 | $1.72 – $4.03 |
| Lourdes Hospital | Paducah, KY | $140.04 | not published |
| Trinity Medical Center East | Steubenville, OH | $202.34 | $2.30 – $314.16 |
| Kings Mills Hospital | Mason, OH | $242.28 | not published |
| Mercy West Hospital | Cincinnati, OH | $242.28 | not published |
| San Martin Hospital | Las Vegas, NV | $270.81 | $1.29 – $911.49 |
| St Elizabeth Boardman Hospital | Youngstown, OH | $271.32 | not published |
| Providence Holy Family Hospital | Spokane, WA | $278.24 | $1.68 – $3.12 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $278.24 | $1.68 – $3.12 |
| Sanford Worthington Medical Center | Worthington, MN | $281.84 | $1.56 – $317.07 |