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HCPCS C9046

Cocaine hydrochloride nasal solution (goprelto), 1 mg

Current code26 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3.11 – $5.093 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2.781 plan$605 – $748$865 – $1,068
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$1.61 – $1.893 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2.70 – $5.093 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2.70 – $5.093 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2.70 – $5.093 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2.55 – $7.647 plans$178 – $326$355 – $652
PeaceHealth Peace Island Medical CenterFriday Harbor—$119 – $216$183 – $332
PeaceHealth Southwest Medical CenteVancouver—$119 – $216$183 – $332
PeaceHealth St John Medical CenterLongview—$119 – $216$183 – $332
PeaceHealth St Joseph Medical CenterBellingham—$119 – $216$183 – $332
PeaceHealth United General Medical CenterSedro Woolley—$119 – $216$183 – $332
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1.68 – $3.123 plans$256 – $278$366 – $397
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3.55 – $3.932 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1.68 – $3.122 plans$256 – $278$366 – $397
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1.68 – $3.124 plans$112$214
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$3.121 plan——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$3.24 – $3.812 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1.68 – $2.823 plans$541 – $668$1,127 – $1,392
Swedish IssaquahIssaquahFile dated 2026-04-01$1.68 – $3.693 plans$541$1,127
Swedish Medical CenterSeattleFile dated 2026-04-01$1.68 – $3.693 plans$541$1,127
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1.68 – $3.693 plans$541$1,127
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2.70 – $3.775 plans$1.79$4.47
University of Washington Medical CtrSeattleFile dated 2026-04-01$1.421 plan——
Virginia Mason Medical CenterSeattle$2.41 – $3.219 plans$2.05$4.01
Yakima Valley MemorialYakimaFile dated 2026-08-27$2.42 – $3.972 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.