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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

Missouri rates for HCPCS B4178

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

Rates data updated July 2026.

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

$69.18

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $85.11 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 5 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$69.18$47.86 to $72.44
FacilityA hospital or hospital-owned outpatient department$85.11$83.18 to $85.11

How much rates vary

Facilitymedian $85 · 10th to 90th $69 to $85Professionalmedian $69 · 10th to 90th $35 to $79
$0.1$1$10$100facility $85professional $69

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
$69.18
Median
$69.18
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$69.18
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$43.65
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$131.83
Typical High
$389.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$50.12
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$54.95
Typical High
$100.00

Where Missouri sits

The same service costs 3.5 times more in Montana than in Delaware. 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.

Missouri· 33rd of 51

$69.18

MT $102DE $29.51

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.