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 |
|---|---|---|---|
| Texas Health Arlington Memorial Hospital | Arlington, TX | $529.20 | $1.58 – $1.58 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $529.20 | $1.58 – $1.58 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $529.20 | $2.48 – $2.48 |
| Texas Health Hospital Frisco | Frisco, TX | $529.20 | $1.58 – $1.58 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $529.20 | $2.48 – $2.48 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $529.20 | $2.48 – $2.48 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $529.20 | $1.58 – $1.58 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $529.20 | $1.58 – $1.58 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $529.20 | $2.48 – $2.48 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $529.20 | $2.48 – $2.48 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $529.20 | $1.58 – $1.58 |
| Texas Health Hospital Rockwall | Rockwall, TX | $529.20 | $2.48 – $2.48 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $529.20 | $2.48 – $2.48 |
| Texas Health Springwood Hospital Hurst-Euless-Bedford | Bedford, TX | $529.20 | $1.58 – $1.58 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $529.20 | $1.58 – $1.58 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $529.20 | $1.58 – $1.58 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $529.20 | $2.48 – $2.48 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $529.20 | $2.48 – $2.48 |
| Mary Immaculate Hospital | Newport News, VA | $532.95 | not published |
| Swedish Medical Center Cherry Hill | Seattle, WA | $540.91 | $1.68 – $2.67 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $540.91 | $1.68 – $2.68 |
| Swedish Issaquah | Issaquah, WA | $540.91 | $1.68 – $2.68 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $551.62 | $1.53 – $643.28 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $551.62 | $128.66 – $643.28 |
| Lasting Hope Recovery Center | Omaha, NE | $551.62 | $128.66 – $643.28 |
| CHI Health Immanuel | Omaha, NE | $551.62 | $105.96 – $643.28 |
| CHI Health Lakeside | Omaha, NE | $551.62 | $121.09 – $643.28 |
| CHI Health Midlands | Papillion, NE | $551.62 | $136.23 – $643.28 |
| Adventhealth Manchester | Manchester, KY | $558.95 | not published |
| Berkeley Medical Center | Martinsburg, WV | $562.77 | not published |
| Princeton Community Hospital | Princeton, WV | $562.77 | not published |
| West Virginia University Hospitals | Morgantown, WV | $562.77 | not published |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $585.04 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $585.04 | not published |
| Orange County Anaheim Medical Center | Anaheim, CA | $585.04 | not published |
| Downey Medical Center | Downey, CA | $585.04 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $585.04 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $585.04 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $585.04 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $585.04 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $585.04 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $585.04 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $585.04 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $585.04 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $585.04 | not published |
| Abbott Northwestern Hospital | MN 55407, MN | $602.39 | $1.04 – $2.81 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $602.39 | $1.04 – $2.81 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $602.39 | $1.04 – $3.38 |
| HCA HOUSTON CONROE | CONROE, TX | $609.17 | $2.37 – $4.16 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | $613.55 | $4.17 – $10.41 |