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 |
|---|---|---|---|
| Jersey City Medical Center | Jersey City, NJ | not published | $1.53 – $1.81 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | not published | $1.56 – $1.56 |
| Providence Saint Joseph Medical Center | Burbank, CA | not published | $1.72 – $5.13 |
| cleveland clinic main campus | Cleveland, OH | not published | $1.65 – $11.17 |
| Covenant Children's Hospital | Lubbock, TX | not published | $4.53 – $4.83 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $1.56 – $1.56 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $1.53 – $1.81 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | not published | $1.56 – $1.56 |
| Clara Maass Medical Center | Belleville, NJ | not published | $1.53 – $1.81 |
| Community Medical Center | Toms River, NJ | not published | $1.53 – $1.81 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | not published | $1.68 – $1.68 |
| Covenant Hospital Plainview | Plainview, TX | not published | $4.49 – $4.49 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | not published | $1.68 – $1.68 |
| Southeastern Medical Center | Cambridge, OH | not published | $9.95 – $9.95 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | not published | $1.68 – $1.68 |
| Berger Hospital | Circleville, OH | not published | $3.82 – $9.95 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | not published | $1.68 – $1.68 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | not published | $1.68 – $1.68 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | not published | $1.68 – $1.68 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | not published | $1.68 – $1.68 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | not published | $1.68 – $1.68 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | not published | $1.68 – $1.68 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $3.12 – $3.12 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | not published | $1.68 – $1.68 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | not published | $1.68 – $1.68 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $3.12 – $3.12 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $1.53 – $11.22 |
| Lincoln Health | Damariscotta, ME | not published | $1.56 – $3.21 |
| Wellstar Windy Hill Hospital | Marietta, GA | not published | $2.97 – $3.31 |
| Stephens Memorial Hospital | Norway, ME | not published | $1.56 – $3.21 |
| Wellstar West Georgia Medical Center | Lagrange, GA | not published | $2.97 – $3.31 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | not published | $2.97 – $3.31 |
| Wellstar Spalding Regional Hospital | Griffin, GA | not published | $2.97 – $3.31 |
| North Central Bronx | Bronx, NY | not published | $1.81 – $1.89 |
| Wellstar Paulding Hospital | Hiram, GA | not published | $2.97 – $3.31 |
| Wellstar North Fulton Hospital | Roswell, GA | not published | $2.97 – $3.31 |
| Corewell Health Troy | Troy, MI | not published | $2.28 – $2.28 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $2.29 – $2.29 |
| Corewell Health Zeeland | Zeeland, MI | not published | $1.72 – $1.72 |
| Corewell Health Greenville | Greenville, MI | not published | $1.72 – $1.72 |
| Corewell Health Reed City | Po Box 75, MI | not published | $1.72 – $1.72 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $1.72 – $1.72 |
| Aurora West Allis Medical Center | West Allis, WI | not published | $1.47 – $2.34 |
| Aurora Medical Center Summit | Summit, WI | not published | $1.47 – $2.34 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | not published | $1.47 – $2.34 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $1.47 – $2.34 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | not published | $1.47 – $2.34 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | not published | $1.47 – $2.34 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | not published | $1.47 – $2.34 |
| Aurora Medical Center Grafton | Grafton, WI | not published | $1.47 – $2.34 |