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 PATCHES, NON-LEGEND
Low
$5
Average
$10
Median
$9
High
$23
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 2.6× 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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14 hospital rates
iThe hospitals that file a WellCare 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $10 | $11 | $2 | 15% | — | $10 – $15 |
| 2 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | $0 | 2% | — | $10 – $10 |
| 3 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $10 | $10 | $1 | 12% | — | $9 – $13 |
| 4 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $7 | $7 | $1 | 15% | — | $5 – $9 |
| 5 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $10 | $11 | $1 | 13% | — | $10 – $15 |
| 6 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $7 | $8 | $1 | 14% | — | $7 – $9 |
| 7 | OCHSNER MEDICAL CENTER � KENNER LLC Kenner, LA other · outpatient | 1 | $5 | $6 | $1 | 17% | — | $5 – $8 |
| 8 | Rush Hospital/Butler, Inc. Butler, AL other · outpatient | 1 | $5 | $5 | $1 | 10% | — | $5 – $6 |
| 9 | Rush Medical Foundation Quitman, MS other · outpatient | 1 | $6 | $7 | $1 | 13% | — | $6 – $9 |
| 10 | ST MARTIN HOSPITAL INC Breaux Bridge, LA other · outpatient | 1 | $5 | $5 | $1 | 14% | — | $5 – $6 |
| 11 | Scott Regional Medical Center, Inc. Morton, MS other · outpatient | 1 | $5 | $6 | $1 | 14% | — | $5 – $7 |
| 12 | University Hospital & Clinics, Inc. Lafayette, LA other · outpatient | 1 | $11 | $12 | $2 | 13% | — | $10 – $15 |
| 13 | University Hospitals Health System Geneva, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | $12 | 83% | — | $1 – $44 |
| 14 | University Hospitals Health System Conneaut, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | $19 | 83% | — | $2 – $69 |
← Payers reporting HCPCS S4991 · Snapshot 20261111T120946Z-9134e7f7