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
Smoking cessation gum
Low
$0
Average
$4
Median
$4
High
$13
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 30.8× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 94 | $1 | $2 | $8 | 415% | — | $0 – $81 |
| 2 | Aetna fee schedule · outpatient · +9 other terms | 92 | $1 | $2 | $9 | 414% | — | $0 – $75 |
| 3 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $1 | $1 | $0 | 33% | — | $0 – $1 |
| 4 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $16 |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $17 |
| 6 | Molina facility · case rate · outpatient · +4 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $16 |
| 7 | UnitedHealthcare facility · case rate · outpatient · +6 other terms | 15 | $10 | $11 | $3 | 24% | — | $7 – $17 |
| 8 | Wellmark fee schedule · both · +2 other terms | 13 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Optum facility · case rate · outpatient · +3 other terms | 11 | $9 | $10 | $2 | 22% | — | $8 – $15 |
| 10 | Medicaid fee schedule · outpatient · +1 other terms | 8 | $5 | $9 | $9 | 98% | — | $3 – $32 |
| 11 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +2 other terms | 6 | $5 | $8 | $8 | 101% | — | $3 – $27 |
| 13 | Excellus facility · fee schedule · outpatient | 5 | $1 | $1 | $0 | 56% | — | $0 – $2 |
| 14 | Humana fee schedule · inpatient · +7 other terms | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Phcs percent of total billed charges · outpatientfrom % of charges | 5 | $4 | $7 | $7 | 91% | — | $3 – $21 |
| 16 | First Health facility · fee schedule · outpatient · +4 other terms | 4 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Healthpartners facility · percent of total billed charges · bothfrom % of charges | 3 | $2 | $2 | $0 | 25% | — | $1 – $2 |
| 19 | Kaiser fee schedule · outpatient · +1 other terms | 3 | $6 | $6 | $3 | 42% | — | $3 – $10 |
| 20 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Cigna facility · fee schedule · outpatient · +2 other terms | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Medica other · outpatient · +2 other terms | 2 | $20 | $20 | $14 | 70% | — | $6 – $34 |
| 23 | Bcbs Id professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Bcbs Nv fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Bcbs Vt professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting HCPCS S4995 · Snapshot 20261112T181611Z-3fa9fb76