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 |
|---|---|---|---|
| Providence St Vincent Medical Center | Portland, OR | $1,248.66 | $1.85 – $1.85 |
| Providence Milwaukie Hospital | Milwaukie, OR | $1,248.66 | $1.85 – $1.85 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | $1,283.29 | $2.00 – $2.00 |
| Providence Valdez Medical Center | Valdez, AK | $1,287.88 | not published |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | $1,296.25 | $2.00 – $2.00 |
| RESTON HOSPITAL CENTER | VIENNA, VA | $1,308.11 | $1.57 – $1.57 |
| 62-1166050 BMH Carroll County | Huntingdon, TN | $1,328.97 | $1.53 – $1.89 |
| 64-0772726 BMH North Mississippi | Oxford, MS | $1,328.97 | $1.53 – $1.53 |
| 64-0663760 BMH Booneville | Booneville, MS | $1,386.75 | $1.53 – $1.53 |
| 62-1519754 BMH Golden Triangle | Columbus, MS | $1,444.53 | $1.53 – $1.53 |
| St Elizabeth Youngstown Hospital | Youngstown, OH | $1,453.50 | not published |
| Adventhealth Zephyrhills | Zephyrhills, FL | $1,459.75 | not published |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $1,501.08 | $4.17 – $10.41 |
| Emory Hospital Perry | Perry, GA | $1,507.80 | not published |
| Emory Hospital Warner Robins | Warner Robins, GA | $1,507.80 | not published |
| Providence Newberg Medical Center | Newberg, OR | $1,542.50 | not published |
| Providence Seaside Hospital | Seaside, OR | $1,542.50 | not published |
| Providence Willamette Falls Medical Center | Oregon City, OR | $1,542.50 | $1.85 – $1.85 |
| Providence Hood River Memorial Hospital | Hood River, OR | $1,542.50 | not published |
| Providence Alaska Medical Center | Anchorage, AK | $1,590.95 | $9.82 – $9.82 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $1,606.45 | $1.51 – $7,302.06 |
| Adventhealth Riverview | Riverview, FL | $1,674.32 | not published |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $1,674.32 | not published |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | $1,691.00 | $1.81 – $1.81 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | $1,691.00 | $1.81 – $1.81 |
| TRICITIES HOSPITAL | HOPEWELL, VA | $1,691.00 | $1.81 – $1.81 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | $1,701.77 | $4.17 – $10.41 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | $1,750.24 | $4.17 – $10.41 |
| Adventhealth Tampa | Tampa, FL | $1,859.51 | not published |
| St Francis Downtown | Greenville, SC | $1,918.62 | not published |
| Adventhealth North Pinellas | Tarpon Springs, FL | $1,945.39 | not published |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | $1,955.08 | $2.00 – $2.00 |
| AdventHealth Orlando | Orlando, FL | $1,955.83 | not published |
| Adventhealth Dade City | Dade City, FL | $2,096.64 | not published |
| AdventHealth Parker | Parker, CO | $2,108.10 | $2.71 – $3.14 |
| AdventHealth Littleton | Littleton, CO | $2,108.10 | $2.71 – $3.14 |
| AdventHealth Avista | Louisville, CO | $2,108.10 | $2.71 – $3.14 |
| AdventHealth Porter | Denver, CO | $2,108.10 | $2.71 – $3.14 |
| AdventHealth Castle Rock | Castle Rock, CO | $2,108.10 | $2.71 – $3.14 |
| Adventhealth Sebring | Sebring, FL | $2,155.76 | not published |
| Adventhealth Wauchula | Wauchula, FL | $2,155.76 | not published |
| Adventhealth Redmond | Rome, GA | $2,187.93 | not published |
| 26-1214372 NEA Baptist | Jonesboro, AR | $2,195.69 | $1.56 – $1.56 |
| Adventhealth Carrollwood | Tampa, FL | $2,221.24 | not published |
| Adventhealth Lake Wales | Lake Wales, FL | $2,275.32 | not published |
| HCA HOUSTON TOMBALL | HOUSTON, TX | $2,284.84 | $2.37 – $4.16 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | $2,306.88 | $2.37 – $4.16 |
| Adventhealth Durand | Durand, WI | $2,337.58 | not published |
| St Francis Eastside | Greenville, SC | $2,393.43 | not published |
| Adventhealth Murray | Po Box 1406, GA | $2,401.79 | not published |