HCPCS S4991
Nicotine patches, non-legend
Current code8 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Overlake Hospital Medical Center & Clinics | $20.30 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1.57 | — | — |
| Providence Holy Family Hospital | $1.57 | — | — |
| Providence Regional Medical Center Everett | $1.57 | — | — |
| Swedish Edmonds Hospital | $1.57 | — | — |
| Swedish Issaquah | $1.57 | — | — |
| Swedish Medical Center | $1.57 | — | — |
| Swedish Medical Center / Cherry Hill | $1.57 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.