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
$1
High
$59
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
141 hospitals; the 90th percentile is 38.5× 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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153 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA case rate · outpatient | 3 | $3 | $3 | $0 | 5% | — | $2 – $3 |
| 2 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 5 | $1 | $2 | $1 | 63% | — | $1 – $3 |
| 3 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 5 | $3 | $3 | $1 | 28% | — | $2 – $3 |
| 4 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $1 | $1 | $0 | 7% | — | $1 – $1 |
| 6 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $1 | $1 | $0 | 7% | — | $1 – $1 |
| 7 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $20 | $20 | $14 | 70% | — | $6 – $34 |
| 8 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | $8 | 70% | — | $3 – $20 |
| 9 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Billings Clinic Billings, MT fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 4 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 17 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 18 | Edward Hospital Plainfield, IL fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Elmhurst Memorial Hospital Elmhurst, IL fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Endeavor Health Clinical Operations Skokie, IL fee schedule · outpatient | 3 | $2 | $2 | $0 | 7% | — | $2 – $2 |
| 21 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX fee schedule · outpatient | 5 | $1 | $0 | $0 | 12% | — | $0 – $1 |
| 22 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX fee schedule · outpatient | 5 | $1 | $0 | $0 | 12% | — | $0 – $1 |
| 23 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX fee schedule · outpatient | 5 | $1 | $1 | $0 | 17% | — | $0 – $1 |
| 24 | HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX fee schedule · outpatient | 5 | $1 | $0 | $0 | 12% | — | $0 – $1 |
| 25 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX fee schedule · outpatient | 5 | $1 | $1 | $0 | 17% | — | $0 – $1 |
← Payers reporting HCPCS S4995 · Snapshot 20261112T181611Z-3fa9fb76