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
$1
Average
$7
Median
$4
High
$22
Each hospital's average Humana rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 9.6× 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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21 hospital rates
iThe hospitals that file a Humana 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 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $19 | $21 | $6 | 30% | — | $16 – $34 |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 5 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Morrison Community Hospital District Morrison, IL facility · percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · other · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 13 | Nationwide Children's Hospital Columbus, OH facility · other · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 14 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · both | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 15 | Nebraska Medical Center Omaha, NE other · outpatient | 1 | $20 | $22 | $6 | 27% | — | $16 – $34 |
| 16 | Pekin Memorial Hospital Pekin, IL fee schedule · inpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 17 | Pekin Memorial Hospital Pekin, IL fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 18 | The Carle Foundation Hospital Urbana, IL fee schedule · inpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | The Carle Foundation Hospital Urbana, IL fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 20 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · both | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | The Medical Center of Peach County Inc Byron, GA fee schedule · both | 2 | $4 | $4 | — | — | — | $4 – $4 |
← Payers reporting HCPCS S4990 · Snapshot 20261111T120946Z-9134e7f7