NDC 64950-0362-04
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
cocaine HCl nasal Soln-Top 40 MG/ML (4 ) 4ML
Reported by 26 hospitals in the network under the case rate methodology.
Low
$1
Average
$4.0k
Median
$440
High
$19.8k
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 26 hospitals; the 90th percentile is 8969.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Oro Valley Hospital LLC | Tucson, AZ | $9 | $9 | — | — | $1 | $9 |
| 2 | Metro Knoxville HMA LLC | Knoxville, TN | $1 | $1 | — | — | $1 | $3 |
| 3 | Dignity Community Care | San Luis Obispo, CA | $1 | $1 | — | — | $1 | $2.9k |
| 4 | St. Luke's Community Health Services | Spring, TX | $2 | $2 | — | — | $1 | $252 |
| 5 | St Lukes Community Development Corporation - Sugar Land | Sugar Land, TX | $2 | $2 | — | — | $1 | $252 |
| 6 | St. Lukes Hospital At The Vintage | Houston, TX | $2 | $2 | — | — | $1 | $252 |
| 7 | St Luke's Lakeside Hospital, Llc | The Woodlands, TX | $2 | $2 | — | — | $1 | $252 |
| 8 | St. Luke's Community Health Services | The Woodlands, TX | $2 | $2 | — | — | $1 | $252 |
| 9 | Chi St. Luke's Health Baylor College Of Medicine Medical Center | Houston, TX | $2 | $2 | — | — | $1 | $252 |
| 10 | Gottlieb Memorial Hospital | Melrose Park, IL | $415 | $415 | — | — | $415 | $415 |
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