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 |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn, NY | not published | $1.89 – $2.42 |
| Mid Coast Hospital | Brunswick, ME | not published | $1.56 – $3.21 |
| Harlem Hospital Center | New York, NY | not published | $1.89 – $2.42 |
| Waldo County General Hospital | Belfast, ME | not published | $1.56 – $3.21 |
| Spring Harbor Hospital | Westbrook, ME | not published | $1.56 – $3.12 |
| Pen Bay Medical Center | Rockport, ME | not published | $1.56 – $3.21 |
| Metropolitan Hospital Center | New York, NY | not published | $1.89 – $2.42 |
| Lincoln Medical Center | Bronx, NY | not published | $1.89 – $2.42 |
| Kings County Hospital Center | Brooklyn, NY | not published | $1.89 – $2.42 |
| Bellevue Hospital Center | NY 10016, NY | not published | $1.81 – $1.89 |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $3.12 – $3.12 |
| Advocate Sherman Hospital | Elgin, IL | not published | $3.12 – $3.12 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $3.12 – $3.12 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $3.12 – $3.12 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | not published | $1.82 – $499.35 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | not published | $1.56 – $634.86 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | not published | $1.56 – $634.86 |
| Cooperman Barnabas Medical Center | Livingston, NJ | not published | $1.53 – $1.81 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | not published | $1.56 – $1.56 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | not published | $3.61 – $3.61 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | not published | $1.56 – $1.56 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | not published | $1.56 – $1.56 |
| Van Wert Hospital | Van Wert, OH | not published | $9.95 – $9.95 |
| O'Bleness Hospital | Athens, OH | not published | $9.95 – $9.95 |
| Mansfield Hospital | Mansfield, OH | not published | $9.95 – $9.95 |