go back

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 July 2026.

How much does Calorically Dense Pediatric Enteral Formula cost?

$1.45

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $1.45 for this service. The price depends on where it is billed: about $1.29 from a physician practice, and about $2.04 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$1.29$0.76 to $1.62
FacilityA hospital or hospital-owned outpatient department$2.04$1.62 to $5.25

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $513Professionalmedian $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). 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
$0.34
Median
$0.34
Typical High
$0.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.32
Median
$0.34
Typical High
$0.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$1.62
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.62
Typical High
$1.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$2.45
Typical High
$6.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.87
Typical High
$0.95
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$2.69
Typical High
$5.25
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$1.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$1.07
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.71
Median
$0.71
Typical High
$0.71
United
Setting
Professional
Modifier
Global
Typical Low
$0.49
Median
$0.71
Typical High
$1.07

Where Minnesota sits

The same service costs 4.6 times more in North Dakota than in Rhode Island. 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· 2nd of 51

$1.45

ND $1.51RI $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.