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 |
|---|---|---|---|
| St Jude Medical Center | Fullerton, CA | $807.71 | $2.46 – $2.46 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $807.71 | $2.43 – $2.43 |
| Southside Regional Medical Center | Petersburg, VA | $829.29 | not published |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $836.06 | $470.56 – $470.56 |
| Mercy Hospital Southeast | Cape Girardeau, MO | $836.06 | $457.60 – $457.60 |
| Moanalua Medical Center | HONOLULU, HI | $843.81 | not published |
| Sequoia Hospital | Redwood City, CA | $856.13 | $2.02 – $1,928.64 |
| Petaluma Valley Hospital | Petaluma, CA | $858.19 | $1.84 – $1.84 |
| Queen of The Valley Medical Center | Napa, CA | $858.19 | $1.99 – $1.99 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $858.19 | $2.37 – $2.37 |
| Healdsburg Hospital | Healdsburg, CA | $858.19 | $1.72 – $4.68 |
| Redwood Memorial Hospital | Fortuna, CA | $858.19 | $2.38 – $2.38 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $858.19 | $1.97 – $1.97 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $865.78 | not published |
| 82-3844150 BMH Crittenden | West Memphis, AR | $866.72 | $1.56 – $1.56 |
| Covenant Medical Center | Lubbock, TX | $884.18 | $4.53 – $5.26 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $892.71 | $2.02 – $985.88 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville, CA | $895.63 | $1.20 – $6,717.25 |
| Sanford Fargo Medical Center | Fargo, ND | $897.92 | $1.56 – $391.23 |
| St Ritas Medical Center | Lima, OH | $901.20 | not published |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $911.40 | not published |
| Providence St Joseph Medical Center | Polson, MT | $954.57 | not published |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $954.57 | not published |
| Sunnyside Medical Center | CLACKAMAS, OR | $956.32 | not published |
| Westside Medical Center | HILLSBORO, OR | $956.32 | not published |
| Mercy Medical Center Redding | Redding, CA | $983.08 | $2.53 – $1,167.18 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | $1,013.86 | $3.12 – $3.12 |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $1,018.20 | $963.20 – $963.20 |
| Adventhealth Rollins Brook | Lampasas, TX | $1,027.32 | $4.66 – $4.66 |
| Adventhealth Central Texas | Killeen, TX | $1,027.32 | $4.66 – $4.66 |
| Rappahannock General Hospital | Kilmarnock, VA | $1,036.83 | not published |
| HORIZON MEDICAL CENTER | DICKSON, TN | $1,040.83 | $2.00 – $2.00 |
| Dominican Hospital | Santa Cruz, CA | $1,058.40 | $2.15 – $1,999.20 |
| Adventhealth Waterman | Tavares, FL | $1,084.11 | not published |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | $1,087.42 | $4.17 – $10.41 |
| Adventhealth Hendersonville | Hendersonville, NC | $1,089.04 | not published |
| AdventHealth Polk | Columbus, NC | $1,089.04 | not published |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | $1,092.68 | $4.17 – $10.41 |
| CHI Health Plainview | Plainview, NE | $1,103.23 | $461.65 – $1,024.86 |
| CHI Health Schuyler | Schuyler, NE | $1,116.36 | $162.11 – $856.85 |
| HCA HOUSTON NORTHWEST | SPRING, TX | $1,137.40 | $2.37 – $4.16 |
| French Hospital | San Luis Obispo, CA | $1,152.48 | $2.02 – $2,881.20 |
| 62-1138045 BMH Union City | Union City, TN | $1,155.62 | $1.53 – $1.89 |
| 64-0682111 BMH DeSoto | Southaven, MS | $1,155.62 | $1.53 – $1.53 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | $1,177.17 | $1.57 – $1.57 |
| Adventhealth Port Charlotte | Port Charlotte, FL | $1,199.19 | not published |
| 62-0123940 BMH Collierville | Collierville, TN | $1,213.41 | $1.53 – $1.53 |
| 64-0881013 MBMC Jackson | Jackson, MS | $1,213.41 | $1.61 – $1.61 |
| Providence Medford Medical Center | Medford, OR | $1,248.66 | $1.85 – $1.85 |
| Providence Portland Medical Center | Portland, OR | $1,248.66 | $1.85 – $1.85 |