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
$15
Median
$14
High
$59
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 5.4× 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.
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13 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Morrison Community Hospital District Morrison, IL facility · percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Northfield Hospital Northfield, MN percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | $0 | 0% | — | $59 – $59 |
| 3 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | $0 | 3% | — | $13 – $15 |
| 4 | St Luke's McCall, LTD McCall, ID percent of total billed charges · inpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 5 | St Luke's McCall, LTD McCall, ID percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 6 | St Luke's Methodist Hospital Marion, IA percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | St Luke's Methodist Hospital Marion, IA percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 8 | St Luke's Nampa Medical Center, LTD Nampa, ID percent of total billed charges · bothfrom % of charges | 1 | $13 | $14 | $1 | 4% | — | $13 – $15 |
| 9 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | $1 | 4% | — | $13 – $15 |
| 10 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · inpatientfrom % of charges | 1 | $16 | $16 | $0 | 1% | — | $16 – $16 |
| 11 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | $0 | 1% | — | $13 – $14 |
| 12 | Tucson Medical Center Tucson, AZ facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 13 | Tucson Medical Center Tucson, AZ facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
← Payers reporting HCPCS S4990 · Snapshot 20261111T120946Z-9134e7f7