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HCPCS C9046
COCAINE HCL NASAL SOLN 40 MG/ML (4%) - as described in hospitals' own price files.
79hospitals publishing a price
$625median cash price
$8.30median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Penn State Health Hampden Medical Center | Enola, PA | $0.02 | $0.03 | $0.05 | $0.01 - $0.04 |
| Penn State Health Holy Spirit Medical Center | Camp Hill, PA | $0.01 | $0.03 | $0.05 | $0.02 - $0.04 |
| Milton S Hershey Medical Center | Hershey, PA | $0.02 | $0.03 | $0.05 | $0.01 - $0.04 |
| Penn State Health St. Joseph | Reading, PA | $0.01 | $0.03 | $0.05 | $0.01 - $0.06 |
| Oro Valley Hospital | Oro Valley, AZ | $0.31 | $0.74 | $1.28 | $0.20 - $1.36 |
| Regional Hospital Of Scranton | Scranton, PA | $1.41 | $1.39 | $5.22 | $0.45 - $4.91 |
| Northeast Regional Medical Center | Kirksville, MO | $0.67 | $1.83 | $2.81 | $0.67 - $2.39 |
| George Washington Univ Hospital | Washington, DC | $110 | $2.15 | $274 | $1.72 - $206 |
| Moberly Regional Medical Center | Moberly, MO | $1.02 | $2.50 | $3.76 | $0.75 - $3.09 |
| Northwest Health - Porter | Valparaiso, IN | $1.86 | $3.49 | $6.89 | $1.65 - $6.89 |
| Dupont Hospital LLC | Fort Wayne, IN | $3.24 | $6.50 | $12.00 | $1.66 - $10.80 |
| Bluffton Regional Medical Center | Bluffton, IN | $2.64 | $6.82 | $11.00 | $1.56 - $9.90 |
| Lower Keys Medical Center | Key West, FL | $2.64 | $8.30 | $9.76 | $2.64 - $65.47 |
| Wilkes-Barre General Hospital | Wilkes-Barre, PA | $5.62 | $8.50 | $23.42 | $1.88 - $23.42 |
| Crestwood Medical Center | Huntsville, AL | $2.92 | $11.35 | $16.22 | $1.72 - $16.22 |
| Dukes Memorial Hospital | Peru, IN | $14.50 | $14.01 | $29.00 | $5.71 - $29.00 |
| Lakewood Ranch Medical Center | Bradenton, FL | - | $108 | $636 | $2.92 - $34,344 |
| Providence Regional Medical Center Everett | Everett, WA | $112 | - | $214 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $134 | - | $382 | - |
| Saint John'S Health Center | Santa Monica, CA | $134 | - | $382 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $134 | - | $382 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $134 | - | $382 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $134 | - | $382 | - |
| South Texas Health System | Edinburg, TX | $872 | $147 | $1,163 | $1.28 - $930 |
| Providence Holy Family Hospital | Spokane, WA | $275 | - | $393 | - |
| Methodist Hospital Of Sacramento | Sacramento, CA | $285 | - | $1,176 | $2.13 - $976 |
| Aiken Regional Medical Center | Aiken, SC | $162 | $286 | $404 | $1.65 - $900 |
| Northridge Hospital Medical Center | Northridge, CA | $305 | - | $1,135 | $1.43 - $1,135 |
| Spring Valley Hospital Medical Center | Las Vegas, NV | - | $342 | $1,423 | $72.91 - $1,138 |
| Henderson Hospital | Henderson, NV | - | $355 | $1,423 | $72.91 - $1,138 |
| Northern Nevada Medical Center | Sparks, NV | - | $380 | $1,005 | $164 - $994 |
| Temecula Valley Hospital | Temecula, CA | - | $402 | $1,122 | $1.72 - $1,010 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $425 | - | $1,171 | $2.56 - $949 |
| Mercy Hospital Of Folsom | Folsom, CA | $439 | - | $1,176 | $1.56 - $964 |
| Swedish Edmonds Hospital | Edmonds, WA | $541 | - | $1,127 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $541 | - | $1,127 | - |
| Swedish Issaquah | Issaquah, WA | $541 | - | $1,127 | - |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $559 | - | $1,006 | $2.13 - $1,605 |
| Corona Regional Medical Center | Corona, CA | - | $567 | $1,739 | $1.72 - $1,565 |
| Orange County Global Medical Center | Santa Ana, CA | $585 | - | $1,125 | - |
| Los Angeles General Medical Center | Los Angeles, CA | $585 | - | $1,125 | - |
| Lompoc Valley Medical Center | Lompoc, CA | $585 | - | $1,125 | - |
| Kadlec Regional Medical Center | Richland, WA | $605 | - | $865 | - |
| Grady Memorial Hospital | Delaware, OH | $625 | - | $961 | - |
| Grant Medical Center | Columbus, OH | $625 | - | $961 | - |
| Riverside Methodist Hospital | Columbus, OH | $625 | - | $961 | - |
| San Francisco VA Medical Center | San Francisco, CA | $630 | - | $1,125 | - |
| San Mateo Medical Center | San Mateo, CA | $630 | - | $1,125 | - |
| Tri-City Medical Center | Oceanside, CA | $630 | - | $1,125 | - |
| Santa Clara Valley Medical Center | San Jose, CA | $630 | - | $1,125 | - |
| Sutter Medical Center, Sacramento | Sacramento, CA | $630 | - | $1,125 | - |
| Sutter Roseville Medical Center | Roseville, CA | $630 | - | $1,125 | - |
| Providence St. Joseph Hospital | Eureka, CA | $654 | - | $1,362 | - |
| St. Mary Medical Center | Long Beach, CA | $654 | - | $1,362 | - |
| Mercy Gilbert Medical Center | Gilbert, AZ | $665 | - | $1,323 | $2.56 - $1,323 |
| Chandler Regional Medical Center | Chandler, AZ | $693 | - | $2,499 | $1.82 - $2,099 |
| Healdsburg Hospital | Healdsburg, CA | $695 | - | $1,362 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $695 | - | $1,362 | - |
| Wellington Regional Medical Center | Wellington, FL | $997 | $748 | $2,492 | $4.04 - $1,570 |
| St. Patrick Hospital | Missoula, MT | $773 | - | $966 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $808 | - | $1,683 | - |
| Providence Mission Hospital | Mission Viejo, CA | $808 | - | $1,683 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $858 | - | $1,683 | - |
| Petaluma Valley Hospital | Petaluma, CA | $858 | - | $1,683 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $858 | - | $1,683 | - |
| Covenant Medical Center | Lubbock, TX | $884 | - | $2,105 | - |
| Chi St. Vincent Hospital Hot Springs | Hot Springs, AR | $948 | - | $948 | $1.61 - $2,587 |
| Providence St. Joseph Medical Center | Polson, MT | $955 | - | $1,193 | - |
| Dominican Hospital | Santa Cruz, CA | $1,040 | - | $2,352 | $2.15 - $1,999 |
| Providence Portland Medical Center | Portland, OR | $1,233 | - | $1,644 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $1,249 | - | $1,665 | - |
| Providence Newberg Medical Center | Newberg, OR | $1,249 | - | $1,665 | - |
| Providence Seaside Hospital | Seaside, OR | $1,249 | - | $1,665 | - |
| Providence Medford Medical Center | Medford, OR | $1,249 | - | $1,665 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $1,249 | - | $1,665 | - |
| Providence St. Vincent Medical Center | Portland, OR | $1,249 | - | $1,665 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $1,249 | - | $1,665 | - |
| Providence Valdez Medical Center | Valdez, AK | $1,288 | - | $1,651 | - |
| Providence Alaska Medical Center | Anchorage, AK | $1,288 | - | $1,651 | - |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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