Cocaine nasal solution (Goprelto), 1 mg at Allina Health Systems

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

cocaine 4 Soln 4 mL BOTTLE

Ulm, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $559 is 4642% above the median hospital's median price ($12), higher than 80% of the 1,280 hospitals reporting HCPCS C9046. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C9046 at Allina Health Systems

Negotiated rates from the hospital’s own file: 8 payers, 23 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Bcbs Mn bc pmap (n) facility · other · outpatient	$2	$2	—	—	—	$2 – $2
2	Bcbs Mn bc premier(n) facility · other · outpatient	$2	$2	—	—	—	$2 – $2
3	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$3	$3	—	—	—	$3 – $3
4	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$3	$3	—	—	—	$3 – $3
5	Bcbs Mn bc state health plan (n) facility · other · outpatient	$3	$3	—	—	—	$3 – $3
6	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$195	$195	$26	13%	—	$169 – $221
7	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$308	$308	$41	13%	—	$267 – $349
8	Medicaid medicaid ma (n) facility · other · outpatient	$424	$424	$57	13%	—	$368 – $481
9	Medica medica medicare (r) facility · fee schedule · outpatient	$431	$431	$57	13%	—	$373 – $488
10	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$436	$436	$58	13%	—	$378 – $494
11	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$451	$451	$60	13%	—	$391 – $511
12	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$594	$594	$79	13%	—	$515 – $673
13	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$600	$600	$80	13%	—	$520 – $680
14	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$642	$642	$85	13%	—	$556 – $727
15	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$648	$648	$86	13%	—	$562 – $734
16	Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges	$679	$679	$90	13%	—	$588 – $769
17	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$776	$776	$103	13%	—	$672 – $879
18	Cigna hpi cigna (n) facility · other · outpatient	$793	$793	$106	13%	—	$687 – $898
19	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$814	$814	$108	13%	—	$706 – $923
20	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$814	$814	$108	13%	—	$706 – $923
21	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$814	$814	$108	13%	—	$706 – $923
22	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$820	$820	$109	13%	—	$711 – $929
23	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$828	$828	$110	13%	—	$718 – $939

Last updated: Jun 16, 2026

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