Cocaine nasal solution (Goprelto), 1 mg at Mercy Perry

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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Generated: October 20, 2026

Original text from hospital filings

COCAINE 4 % NASAL SOLUTION

Perryville, MO

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How this price compares nationally

Mercy Perry’s median price of $1.1k is 9123% above the median hospital's median price ($12), higher than 91% 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 Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 29 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	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$266	$266	—	—	—	$266 – $266
2	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$355	$355	—	—	—	$355 – $355
3	Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$355	$355	—	—	—	$355 – $355
4	UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$355	$355	—	—	—	$355 – $355
5	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$540	$540	—	—	—	$540 – $540
6	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$540	$540	—	—	—	$540 – $540
7	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$540	$540	—	—	—	$540 – $540
8	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$540	$540	—	—	—	$540 – $540
9	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$540	$540	—	—	—	$540 – $540
10	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$540	$540	—	—	—	$540 – $540
11	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$551	$551	—	—	—	$551 – $551
12	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$562	$562	—	—	—	$562 – $562
13	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$562	$562	—	—	—	$562 – $562
14	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$622	$622	—	—	—	$622 – $622
15	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$622	$622	—	—	—	$622 – $622
16	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$622	$622	—	—	—	$622 – $622
17	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$644	$644	—	—	—	$644 – $644
18	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$746	$746	—	—	—	$746 – $746
19	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$842	$842	—	—	—	$842 – $842
20	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$844	$844	—	—	—	$844 – $844
21	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
24	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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