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
Low
$2
Average
$12
Median
$11
High
$59
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
22 payers; the 90th percentile is 5.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bcbs Id percent of total billed charges · bothfrom % of charges · +1 other terms | 5 | $14 | $14 | $0 | 3% | 6–60 | $14 – $15 |
| 2 | Regence percent of total billed charges · outpatientfrom % of charges · +1 other terms | 3 | $14 | $14 | $1 | 4% | 2–20 | $13 – $15 |
| 3 | Aetna fee schedule · outpatient · +10 other terms | 76 | $3 | $7 | $10 | 143% | — | $2 – $54 |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms | 22 | $5 | $6 | $3 | 55% | — | $2 – $15 |
| 5 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $16 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $17 |
| 7 | Molina facility · case rate · outpatient · +5 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $16 |
| 8 | UnitedHealthcare facility · case rate · outpatient · +6 other terms | 15 | $10 | $11 | $3 | 24% | — | $7 – $17 |
| 9 | Bcbs Nj fee schedule · outpatient | 12 | $3 | $3 | $1 | 37% | — | $2 – $6 |
| 10 | Optum facility · case rate · outpatient · +1 other terms | 11 | $9 | $10 | $2 | 22% | — | $8 – $15 |
| 11 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $2 | $2 | — | — | — | $2 – $2 |
| 12 | Humana fee schedule · inpatient · +7 other terms | 5 | $2 | $2 | — | — | — | $2 – $2 |
| 13 | First Health facility · fee schedule · outpatient · +2 other terms | 4 | $6 | $6 | — | — | — | $6 – $6 |
| 14 | Cigna facility · fee schedule · outpatient · +4 other terms | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 15 | Medica other · outpatient · +2 other terms | 2 | $22 | $22 | $6 | 28% | — | $16 – $34 |
| 16 | Ambetter facility · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 17 | Bcbs Nv fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 18 | Bcbs Vt professional · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | Healthpartners percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | $0 | 0% | — | $59 – $59 |
| 20 | MultiPlan percent of total billed chargesfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 21 | WellCare facility · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 22 | Wellmark facility · fee schedule · both | 1 | $8 | $8 | $4 | 46% | — | $4 – $12 |
← Hospitals reporting HCPCS S4990 · Snapshot 20261111T120946Z-9134e7f7