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
Ukiah, CA
See all hospitals reporting HCPCS S4991 →Price type
Ukiah Adventist Hospital’s median price of $11 is 263% above the median hospital's median price ($3), higher than 87% of the 452 hospitals reporting HCPCS S4991. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $0 | 1% | — | $5 – $6 |
| 2 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $0 | 1% | — | $6 – $6 |
| 3 | Aetna aetna-all plans percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $0 | 1% | — | $10 – $10 |
| 4 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 6 | Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges | $11 | $11 | $0 | 1% | — | $11 – $11 |
| 7 | UnitedHealthcare uhc jll csp 1/1/25 percent of total billed charges · outpatientfrom % of charges | $11 | $11 | $0 | 1% | — | $11 – $12 |
| 8 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $12 | $12 | $0 | 1% | — | $11 – $12 |
| 9 | MultiPlan phcs multiplan-all plans percent of total billed charges · outpatientfrom % of charges | $12 | $12 | $0 | 1% | — | $11 – $12 |
| 10 | UnitedHealthcare uhc all payer-all other plans percent of total billed charges · outpatientfrom % of charges | $12 | $12 | $0 | 1% | — | $12 – $12 |
| 11 | Blue Cross Blue Shield blue cross mcs-all other plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 12 | Kaiser kaiser medi-cal fee schedule · outpatient | $14 | $14 | $0 | 1% | — | $14 – $15 |
| 13 | Medicaid medi-cal fee schedule · outpatient | $14 | $14 | $0 | 1% | — | $14 – $15 |
Last updated: May 24, 2026
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