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 PATCH LEGEND
Low
$2
Average
$3.4k
Median
$4
High
$685.0k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 203 hospitals; the 90th percentile is 4.2× 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 | VHS Harper-Hutzel Hospital Inc Detroit, MI | $2 | $3 | $2 | 68% | — | $1 – $5 |
| 2 | VHS Huron Valley-Sinai Hospital Inc Commerce Charter Twp, MI | $2 | $2 | $1 | 51% | — | $1 – $3 |
| 3 | Hmh Hospitals Corporation North Bergen, NJ | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Hmh Hospitals Corporation Edison, NJ | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Hmh Hospitals Corporation Perth Amboy, NJ | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Hmh Hospitals Corporation Old Bridge, NJ | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Aurora Medical Center Summit Summit, WI | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Aurora Medical Center Grafton Grafton, WI | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Aurora BayCare Medical Center Green Bay, WI | $2 | $2 | — | — | — | $2 – $2 |
Ask Claude or any MCP client for HCPCS S4990 pricing at a specific hospital — see how to connect.