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 |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls, SD | $284.81 | $1.56 – $172.43 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $285.06 | $1.53 – $4.04 |
| NewYork-Presbyterian Queens | Flushing, NY | $285.06 | $1.53 – $228.73 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $285.06 | $1.53 – $210.60 |
| Sanford Medical Center Bismarck | Bismarck, ND | $298.03 | $75.08 – $213.09 |
| Siena Hospital | Henderson, NV | $299.87 | $1.29 – $911.49 |
| Allen Hospital | Oberlin, OH | $310.08 | not published |
| Northridge Hospital Medical Center | Northridge, CA | $316.67 | $1.49 – $1,135.00 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $331.01 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $331.01 | $176.54 – $479.96 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $331.01 | $187.57 – $402.73 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $331.01 | $248.26 – $259.29 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $331.01 | not published |
| HCA HOUSTON WEST | HOUSTON, TX | $334.00 | $2.37 – $4.16 |
| Sanford Bemidji Medical Center | Bemidji, MN | $341.00 | $1.59 – $299.28 |
| St Anne Hospital | Toledo, OH | $377.94 | not published |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $380.65 | not published |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $380.65 | not published |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $380.65 | not published |
| St. John's Camarillo Hospital | Camarillo, CA | $386.32 | $1.96 – $687.96 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $393.08 | $1.57 – $812.91 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $395.00 | $141.70 – $371.28 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $395.00 | $141.70 – $371.28 |
| Sanford Tracy Hospital | Tracy, MN | $403.40 | $99.39 – $369.48 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $411.90 | $1.92 – $705.20 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $414.80 | $373.32 – $963.20 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $414.80 | $963.20 – $963.20 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | $444.98 | $2.37 – $4.16 |
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $450.19 | $1.53 – $3,980.59 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $450.19 | $1.30 – $3,103.91 |
| Atrium Health Anson | Wadesboro, NC | $450.90 | $134.91 – $856.71 |
| Atrium Health Mercy | Charlotte, NC | $450.90 | $196.68 – $829.66 |
| Atrium Health Pineville | Charlotte, NC | $450.90 | $90.18 – $829.66 |
| Atrium Health Stanly | Albermarle, NC | $450.90 | $108.22 – $865.73 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $450.90 | $171.34 – $901.80 |
| Atrium Health Cleveland | Shelby, NC | $450.90 | $126.25 – $856.71 |
| Atrium Health Cabarrus | Concord, NC | $450.90 | $110.65 – $856.71 |
| Atrium Health Lincoln | Lincolnton, NC | $450.90 | $101.72 – $856.71 |
| Atrium Health Union | Monroe, NC | $450.90 | $117.23 – $856.71 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $450.90 | $254.40 – $829.66 |
| Atrium Health University City | Charlotte, NC | $450.90 | $90.18 – $829.66 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $450.90 | $196.68 – $811.62 |
| Southampton Medical Center | Franklin, VA | $462.70 | not published |
| Woodland Memorial Hospital | Woodland, CA | $472.38 | $2.02 – $1,059.00 |
| Mercy San Juan Medical Center | Carmichael, CA | $472.38 | $2.02 – $878.97 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | $492.00 | $1.40 – $3.96 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | $492.00 | $1.34 – $3.96 |
| Methodist Hospital of Sacramento | Sacramento, CA | $496.52 | $2.02 – $878.97 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $529.20 | $1.58 – $1.58 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $529.20 | $1.58 – $1.58 |