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Calorically Dense Pediatric Enteral Formula

Minnesota rates for HCPCS B4160

Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 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 Calorically Dense Pediatric Enteral Formula cost?

$0.98

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $0.98 for this service. The price depends on where it is billed: about $0.98 from a physician practice, and about $1.62 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.98$0.95 to $1.35
FacilityA hospital or hospital-owned outpatient department$1.62$0.98 to $2.40

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $603Professionalmedian $1 · 10th to 90th $1 to $2
$1$10$100$1Kfacility $2professional $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
$0.98
Median
$0.98
Typical High
$0.98
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$0.15
Median
$0.15
Typical High
$0.15
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.98
Median
$0.98
Typical High
$0.98
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.15
Median
$0.15
Typical High
$0.15
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$1.48
Median
$1.62
Typical High
$954.99
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$1.32
Median
$1.51
Typical High
$1.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.58
Median
$2.34
Typical High
$6.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.76
Median
$0.83
Typical High
$0.95
Health Partners
Setting
Facility
Modifier
None
Typical Low
$1.41
Median
$2.24
Typical High
$5.25
Health Partners
Setting
Professional
Modifier
None
Typical Low
$0.76
Median
$0.76
Typical High
$0.76
Medica
Setting
Facility
Modifier
None
Typical Low
$0.56
Median
$1.07
Typical High
$79.43
Medica
Setting
Professional
Modifier
None
Typical Low
$0.71
Median
$0.71
Typical High
$0.71
United
Setting
Professional
Modifier
None
Typical Low
$0.49
Median
$0.49
Typical High
$0.71

Where Minnesota sits

The same service costs 239.9 times more in Montana than in Utah. 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.

Minnesota· 11th of 51

$0.98

MT $79.43UT $0.33

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.