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 |
|---|---|---|---|
| Adventhealth Gordon | Calhoun, GA | $2,401.79 | not published |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | $2,407.90 | $2.37 – $4.16 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | $2,442.00 | $1.81 – $1.81 |
| 64-0362400 Anderson Regional Main Campus | Meridian, MS | $2,542.37 | $1.53 – $1.53 |
| Mercy Hospital Pittsburg | Pittsburg, KS | $2,729.35 | $156.00 – $156.00 |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $2,967.99 | not published |
| Adventhealth South Overland Park | Overland Park, KS | $2,967.99 | not published |
| Adventhealth Ottawa | Ottawa, KS | $2,967.99 | not published |
| CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $3,234.00 | $1.61 – $758.00 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $3,354.90 | $294.40 – $3,354.90 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $3,354.90 | $294.40 – $3,354.90 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $3,354.90 | $294.40 – $3,776.28 |
| MercyOne Clinton Medical Center | Clinton, IA | $3,354.90 | $294.40 – $3,354.90 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $3,354.90 | $294.40 – $3,354.90 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $3,354.90 | $294.40 – $3,354.90 |
| 64-0362400 Anderson Regional South Campus | Meridian, MS | $4,622.50 | $1.53 – $1.53 |
| Adventhealth Ocala | Ocala, FL | $4,991.13 | not published |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $2.37 – $4.16 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $2.37 – $4.16 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $1.51 – $4.65 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | not published | $2.00 – $2.00 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $4.17 – $10.41 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $4.17 – $10.41 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $4.17 – $10.41 |
| Kettering Health Troy | Troy, OH | not published | $3.44 – $4.80 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $3.44 – $4.80 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $3.44 – $4.80 |
| Soin Medical Center | Beaver Creek, OH | not published | $3.44 – $4.80 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $3.44 – $4.80 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $3.44 – $4.80 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $3.44 – $4.80 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $1.53 – $2.34 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $0.86 – $6.10 |
| MUSC Health Florence Medical Center | Florence, SC | not published | $1.53 – $2.34 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $1.34 – $6.10 |
| MUSC Health Main Campus - Charleston | Charleston, SC | not published | $0.86 – $2.34 |
| MUSC Health Black River Medical Center | Cades, SC | not published | $1.05 – $2.34 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $2.42 – $2.42 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $1.65 – $1.65 |
| Gouverneur Hospital | Gouverneur, NY | not published | $1.62 – $1.65 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | not published | $1.62 – $1.65 |
| Newark Wayne Community Hospital | Newark, NY | not published | $1.48 – $1.90 |
| The Unity Hospital of Rochester | Rochester, NY | not published | $1.48 – $1.65 |
| Rochester General Hospital | Rochester, NY | not published | $1.48 – $1.90 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | not published | $2.70 – $2.70 |
| MultiCare Covington Medical Center | Covington, WA | not published | $2.70 – $2.70 |
| MultiCare Capital Medical Center | Olympia, WA | not published | $3.11 – $3.11 |
| MultiCare Auburn Medical Center | Auburn, WA | not published | $2.70 – $2.70 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $4.04 – $4.72 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $4.04 – $4.72 |