NDC 00904-5734-11
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 POLACRILEX 2 MG GUM
Based on 205 billing samples across every hospital reporting.
Low
$2
Average
$1.5k
Median
$5
High
$8.5k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 6 hospitals; the 90th percentile is 2112.5× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Monument Health Rapid City Hospital Inc City, SD | $10 | $9 | $3 | 36% | 205 | $3 – $12 |
| 2 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $448 | $448 | — | — | — | $448 – $448 |
| 3 | Allina Health Systems Buffalo, MN | $2 | $2 | $1 | 41% | — | $0 – $4 |
| 4 | Allina Health Systems Faribualt, MN | $2 | $2 | $1 | 41% | — | $0 – $4 |
| 5 | Allina Health Systems River Falls, WI | $2 | $2 | $1 | 39% | — | $1 – $4 |
| 6 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
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