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 21 MG/24HR TD PT24
New Richmond, WI
See all hospitals reporting HCPCS S4991 →Price type
Westfields Hospital’s median price of $5 is 49% above the median hospital's median price ($3), higher than 66% 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: 6 payers, 9 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 | Ucare ucare pmap [50283] facility · percent of total billed charges · bothfrom % of charges | $4 | $4 | $0 | 5% | — | $4 – $4 |
| 2 | Blue Cross Blue Shield bcbs medicare advantage [50299] facility · percent of total billed charges · bothfrom % of charges | $4 | $4 | $0 | 5% | — | $4 – $5 |
| 3 | UnitedHealthcare uhc medicare advantage ppo [50275] facility · percent of total billed charges · bothfrom % of charges | $4 | $4 | $0 | 5% | — | $4 – $5 |
| 4 | Blue Cross Blue Shield bcbs pmap [95296] facility · percent of total billed charges · bothfrom % of charges | $4 | $4 | $0 | 5% | — | $4 – $5 |
| 5 | Medica medica government advantage [50316] facility · percent of total billed charges · bothfrom % of charges | $5 | $5 | $0 | 5% | — | $4 – $5 |
| 6 | Healthpartners hp self insured [91021] facility · percent of total billed charges · bothfrom % of charges | $7 | $7 | $0 | 5% | — | $7 – $8 |
| 7 | Medica medica choice [90156] facility · percent of total billed charges · bothfrom % of charges | $9 | $9 | $0 | 5% | — | $8 – $9 |
| 8 | First Health first health network [95334] facility · percent of total billed charges · bothfrom % of charges | $9 | $9 | $0 | 5% | — | $8 – $9 |
| 9 | UnitedHealthcare uhc [50131] facility · percent of total billed charges · bothfrom % of charges | $9 | $9 | $0 | 5% | — | $9 – $10 |
Last updated: Mar 31, 2026
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