HCPCS C9046
Cocaine hydrochloride nasal solution (goprelto), 1 mg
Current code26 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Kadlec Regional Medical Center | — | $605 – $748 | $865 – $1,068 |
| Overlake Hospital Medical Center & Clinics | — | $178 – $326 | $355 – $652 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $256 – $278 | $366 – $397 |
| Providence Holy Family Hospital | — | $256 – $278 | $366 – $397 |
| Providence Regional Medical Center Everett | — | $112 | $214 |
| Swedish Edmonds Hospital | — | $541 – $668 | $1,127 – $1,392 |
| Swedish Issaquah | — | $541 | $1,127 |
| Swedish Medical Center | — | $541 | $1,127 |
| Swedish Medical Center / Cherry Hill | — | $541 | $1,127 |
| Tacoma General Allenmore Hospital | $2.64 – $3.26 | $1.79 | $4.47 |
| Virginia Mason Medical Center | $2.57 – $3.21 | $2.05 | $4.01 |
Medicare (traditional) reference
CMS publishes no national amount for this code.