go back

Enteral Formula, Nutritionally Complete, Calorically Dense

Georgia rates for HCPCS B4152

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

Rates data updated July 2026.

How much does Enteral Formula, Nutritionally Complete, Calorically Dense cost?

$0.39

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $0.39 for this service. The price depends on where it is billed: about $0.39 from a physician practice, and about $0.40 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.39$0.31 to $0.42
FacilityA hospital or hospital-owned outpatient department$0.40$0.39 to $0.55

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $1
$0.2$0.5$1$2$5$10$20facility $0professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.38
Median
$0.39
Typical High
$0.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$0.39
Typical High
$0.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$0.30
Median
$0.30
Typical High
$0.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$1.20
Typical High
$1.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.26
Median
$0.33
Typical High
$1.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.40
Typical High
$1.12
United
Setting
Facility
Modifier
Global
Typical Low
$0.40
Median
$0.40
Typical High
$0.40
United
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$0.62
Typical High
$0.93

Where Georgia sits

The same service costs 2.6 times more in Hawaii than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Georgia· 24th of 51

$0.39

HI $0.59WV $0.23

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.