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 |
|---|---|---|---|
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $4.17 – $10.41 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $4.04 – $4.72 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $4.04 – $4.72 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $4.04 – $4.72 |
| Houston Methodist West Hospital | Houston, TX | not published | $4.04 – $4.72 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $4.04 – $4.72 |
| Houston Methodist Hospital | Houston, TX | not published | $4.04 – $4.72 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | not published | $2.78 – $2.85 |
| Parkview Ortho Hospital | Fort Wayne, IN | not published | $2.78 – $2.85 |
| Parkview Noble Hospital | Kendallville, IN | not published | $2.78 – $2.85 |
| Parkview Wabash Hospital | Wabash, IN | not published | $2.78 – $2.85 |
| Parkview Logansport Hospital | Logansport, IN | not published | $3.12 – $3.12 |
| Parkview LaGrange Hospital | Lagrange, IN | not published | $2.78 – $2.85 |
| Parkview Huntington Hospital | Huntington, IN | not published | $2.78 – $2.85 |
| Parkview DeKalb Hospital | Auburn, IN | not published | $2.78 – $2.85 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | not published | $2.78 – $2.85 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $0.81 – $2.05 |
| Parkwest Medical Center | Knoxville, TN | not published | $0.81 – $2.05 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $0.81 – $2.05 |
| LeConte Medical Center | Sevierville, TN | not published | $0.81 – $2.05 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $4.17 – $10.41 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $0.81 – $2.05 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $0.81 – $2.05 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $4.72 – $4.72 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $0.97 – $2.05 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $5.26 – $5.26 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $1.51 – $1.95 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $3.01 – $3.01 |
| Claiborne Medical Center | Tazewell, TN | not published | $0.81 – $2.05 |
| Roane County Medical Center | Harriman, TN | not published | $0.81 – $2.05 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $3.34 – $3.34 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $3.58 – $3.58 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $3.85 – $3.85 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $5.34 – $5.34 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $4.65 – $4.65 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $2.07 – $2.07 |
| CHRISTUS Trinity Mother Frances Hospital - South Tyler | Tyler, TX | not published | $2.07 – $2.07 |
| CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs | Sulphur Springs, TX | not published | $3.35 – $3.35 |
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler, TX | not published | $2.07 – $2.07 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $2.07 – $2.07 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $1.51 – $1.95 |
| Providence St Mary Medical Center | Walla Walla, WA | not published | $3.12 – $3.12 |
| Covenant Hospital Levelland | Levelland, TX | not published | $4.49 – $4.49 |
| Marion General Hospital | Marion, OH | not published | $9.95 – $9.95 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | not published | $1.53 – $1.81 |
| Doctors Hospital | Columbus, OH | not published | $3.58 – $3.58 |
| Hardin Memorial Hospital | Kenton, OH | not published | $9.95 – $9.95 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | not published | $6.02 – $6.02 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | not published | $1.56 – $520.71 |
| Monmouth Medical Center | Long Branch, NJ | not published | $1.53 – $1.81 |