go back

Pediatric Hydrolyzed or Amino Acid Enteral Formula

Oregon rates for HCPCS B4161

Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes 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 Pediatric Hydrolyzed or Amino Acid Enteral Formula cost?

$2.29

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $2.29 for this service. The price depends on where it is billed: about $1.74 from a physician practice, and about $2.29 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$1.74$1.12 to $2.69
FacilityA hospital or hospital-owned outpatient department$2.29$2.29 to $2.29

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $2Professionalmedian $2 · 10th to 90th $1 to $3
$1$2$5$10$20$50facility $2professional $2

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
Professional
Modifier
Global
Typical Low
$1.12
Median
$2.69
Typical High
$2.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$1.74
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$3.55
Typical High
$3.80
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$3.55
Typical High
$7.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00

Where Oregon sits

The same service costs 3.0 times more in Hawaii than in North Carolina. 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.

Oregon· 14th of 51

$2.29

HI $3.39NC $1.12

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.