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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

Michigan rates for HCPCS B4178

Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix

Rates data updated October 2026.

How much does Parenteral Nutrition, Amino Acid over 8.5%, Home Mix cost?

$79.43

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $191 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$79.43$64.57 to $83.18
FacilityA hospital or hospital-owned outpatient department$191$135 to $302

How much rates vary

Facilitymedian $191 · 10th to 90th $83 to $417Professionalmedian $79 · 10th to 90th $55 to $98
$20$50$100$200$500facility $191professional $79

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
$54.95
Median
$83.18
Typical High
$147.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$72.44
Typical High
$83.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.32
Median
$10.96
Typical High
$12.59
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.50
Median
$7.24
Typical High
$8.32
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$239.88
Typical High
$467.74
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.09
Median
$63.10
Typical High
$63.10
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$173.78
Typical High
$190.55
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$79.43
Typical High
$102.33
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Priority Health
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$69.18
United
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$66.07
Typical High
$109.65

Where Michigan sits

The same service costs 5.5 times more in Iowa than in Kansas. 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.

Michigan· 20th of 51

$79.43

IA $91.20KS $16.60

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.