Cocaine nasal solution (Goprelto), 1 mg at AMH Cath Labs LLC

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

COCAINE 4 % NASAL SOLN [140665]

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $483 is 3948% above the median hospital's median price ($12), higher than 78% of the 1,275 hospitals reporting HCPCS C9046. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C9046 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 8 payers, 25 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	Blue Cross Blue Shield hmo fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
2	Blue Cross Blue Shield exchange fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
3	Blue Cross Blue Shield ppo fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
4	Blue Cross Blue Shield traditional fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
5	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
6	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
7	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$82	$82	—	—	—	$82 – $82
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
9	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$86	$86	—	—	—	$86 – $86
10	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$305	$305	—	—	—	$305 – $305
11	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$362	$362	—	—	—	$362 – $362
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$407	$407	—	—	—	$407 – $407
13	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$456	$456	—	—	—	$456 – $456
14	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$483	$483	—	—	—	$483 – $483
15	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$483	$483	—	—	—	$483 – $483
16	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$488	$488	—	—	—	$488 – $488
17	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$613	$613	—	—	—	$613 – $613
18	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$615	$615	—	—	—	$615 – $615
19	Aetna asa percent of total billed charges · outpatientfrom % of charges	$618	$618	—	—	—	$618 – $618
20	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$618	$618	—	—	—	$618 – $618
21	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$657	$657	—	—	—	$657 – $657
22	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$767	$767	—	—	—	$767 – $767
23	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$767	$767	—	—	—	$767 – $767
24	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$830	$830	—	—	—	$830 – $830
25	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$830	$830	—	—	—	$830 – $830

Last updated: Apr 21, 2026

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