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Enteral Formula, Nutritionally Complete, Calorically Dense

Illinois 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 October 2026.

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

$0.50

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $0.50 for this service. The price depends on where it is billed: about $0.50 from a physician practice, and about $0.50 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.50$0.39 to $0.51
FacilityA hospital or hospital-owned outpatient department$0.50$0.50 to $1.82

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $4Professionalmedian $1 · 10th to 90th $0 to $1
$0.2$1$5$20$100facility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.37
Median
$0.40
Typical High
$0.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.26
Median
$0.40
Typical High
$0.44
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.04
Median
$0.07
Typical High
$0.07
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.03
Median
$0.04
Typical High
$0.04
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$0.50
Median
$0.50
Typical High
$3.98
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$0.42
Median
$0.50
Typical High
$0.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
Hally Health
Setting
Professional
Modifier
None
Typical Low
$0.39
Median
$0.52
Typical High
$3.16
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$0.51
Median
$0.51
Typical High
$0.51
United
Setting
Facility
Modifier
None
Typical Low
$0.40
Median
$0.40
Typical High
$0.40
United
Setting
Professional
Modifier
None
Typical Low
$0.24
Median
$0.51
Typical High
$0.85

Where Illinois sits

The same service costs 3.1 times more in Florida than in Alabama. 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.

Illinois· 13th of 51

$0.50

FL $0.74AL $0.24

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.