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
NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH
Based on 22–220 billing samples across every hospital reporting.
Low
$1
Average
$1.1k
Median
$4
High
$228.3k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 209 hospitals; the 90th percentile is 5.8× 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 | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St Luke's Magic Valley Regional Medical Center, LTD Twin Falls, ID | $14 | $13 | $2 | 16% | 13–130 | $7 – $17 |
| 2 | St Luke's Regional Medical Center, LTD Boise, ID | $14 | $13 | $2 | 15% | 3–30 | $7 – $16 |
| 3 | Northfield Hospital Northfield, MN | $58 | $54 | $8 | 15% | 3–30 | $39 – $59 |
| 4 | St Luke's Wood River Medical Center, LTD Ketchum, ID | $14 | $13 | $3 | 19% | 3–30 | $10 – $16 |
| 5 | Ingalls Memorial Hospital Harvey, IL | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Mayo Regional Hospital Dover Foxcroft, ME | $7 | $7 | $5 | 69% | — | $2 – $12 |
| 8 | Kettering Medical Center Miamisburg, OH | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Hoopeston Community Memorial Hospital Hoopeston, IL | $2 | $2 | — | — | — | $2 – $2 |
| 10 | MemorialCare Saddleback Medical Center Laguna Hills, CA | $3 | $3 | $0 | 19% | — | $2 – $3 |
Ask Claude or any MCP client for HCPCS S4990 pricing at a specific hospital — see how to connect.