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 |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert, AZ | $614.76 | $1.57 – $1,924.23 |
| New Ulm Medical Center | MN 56073, MN | $615.22 | $2.12 – $687.29 |
| Riverside Methodist Hospital | Columbus, OH | $624.55 | $3.58 – $3.58 |
| Grady Memorial Hospital | Delaware, OH | $624.55 | $9.95 – $9.95 |
| Grant Medical Center | Columbus, OH | $624.55 | $3.58 – $3.58 |
| Adventhealth Daytona Beach | Daytona Beach, FL | $624.58 | not published |
| Bakersfield Memorial Hospital | Bakersfield, CA | $629.41 | $2.15 – $832.66 |
| Redwood City Medical Center | Redwood City, CA | $630.04 | not published |
| Oakland Medical Center | Oakland, CA | $630.04 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $630.04 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $630.04 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $630.04 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $630.04 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $630.04 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $630.04 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $630.04 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $630.04 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $630.04 | not published |
| Vallejo Medical Center | VALLEJO, CA | $630.04 | not published |
| Antioch Medical Center | ANTIOCH, CA | $630.04 | not published |
| Fremont Medical Center | FREMONT, CA | $630.04 | not published |
| Fresno Medical Center | FRESNO, CA | $630.04 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $630.04 | not published |
| San Jose Medical Center | SAN JOSE, CA | $630.04 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $630.04 | not published |
| CHI Health Mercy Corning | Corning, IA | $630.42 | $1.53 – $741.67 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $636.27 | $1.25 – $843.20 |
| CHI Health Missouri Valley | Missouri Valley, IA | $643.55 | $1.53 – $741.67 |
| Providence St Joseph Hospital Orange | Orange, CA | $653.85 | $2.40 – $2.40 |
| Swedish Edmonds Hospital | Edmonds, WA | $668.20 | $1.68 – $2.64 |
| Chandler Regional Medical Center | Chandler, AZ | $669.74 | $1.57 – $2,099.16 |
| Mercy Hospital of Folsom | Folsom, CA | $670.64 | $1.50 – $868.38 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $673.20 | $158.20 – $673.20 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $683.36 | $2.92 – $5,985.41 |
| Adventhealth Palm Coast | Palm Coast, FL | $700.06 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $700.06 | not published |
| Allina Health Faribault Medical Center | Faribualt, MN | $702.78 | $1.04 – $578.12 |
| Buffalo Hospital | Buffalo, MN | $702.78 | $1.04 – $578.12 |
| Cambridge Medical Center | Cambridge, MN | $702.78 | $1.04 – $578.12 |
| River Falls Area Hospital | River Falls, MN | $702.78 | $1.04 – $364.65 |
| Owatonna Hospital | Owatonna, MN | $702.78 | $1.04 – $578.12 |
| Adventhealth Fish Memorial | Orange City, FL | $719.75 | not published |
| STONECREST MEDICAL CENTER | Smyrna, TN | $733.37 | $2.00 – $2.00 |
| Texas Health Hospital Mansfield | Mansfield, TX | $737.60 | $2.45 – $2.45 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $737.60 | $2.45 – $2.45 |
| Kadlec Regional Medical Center | Richland, WA | $747.80 | $2.78 – $2.78 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | $771.75 | $2.00 – $2.00 |
| California Hospital Medical Center | Los Angeles, CA | $781.82 | $1.68 – $1,273.48 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | $794.26 | $2.00 – $2.00 |
| AdventHealth Deland | Deland, FL | $795.23 | not published |