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Enteral Formula, Nutritionally Complete, Calorically Dense

New York 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?

$0.38

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $0.38 for this service. The price depends on where it is billed: about $0.34 from a physician practice, and about $0.39 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 8 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$0.34$0.30 to $0.47
FacilityA hospital or hospital-owned outpatient department$0.39$0.38 to $0.48

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $1
$0.5$1$2facility $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
$0.26
Median
$0.30
Typical High
$0.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.25
Median
$0.30
Typical High
$0.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.38
Median
$0.38
Typical High
$0.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.47
Typical High
$0.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.69
Median
$0.69
Typical High
$0.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$4.57
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$0.65
Typical High
$1.51
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$0.39
Median
$0.58
Typical High
$1.07
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.45
Median
$0.45
Typical High
$0.48
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.45
Median
$0.48
Typical High
$0.52
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$0.98
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$0.51
Typical High
$0.78
United
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$0.39
Typical High
$0.39
United
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.52
Typical High
$1.07
Univera
Setting
Facility
Modifier
Global
Typical Low
$0.45
Median
$0.48
Typical High
$0.52
Univera
Setting
Professional
Modifier
Global
Typical Low
$0.45
Median
$0.48
Typical High
$0.54

Where New York 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.

New York· 36th of 51

$0.38

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.