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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

Ohio 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?

$61.66

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 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 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$61.66$46.77 to $61.66
FacilityA hospital or hospital-owned outpatient department$85.11$85.11 to $87.10

How much rates vary

Facilitymedian $85 · 10th to 90th $79 to $102Professionalmedian $62 · 10th to 90th $35 to $79
$0.1$1$10$100facility $85professional $62

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
$61.66
Median
$61.66
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$63.10
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$93.33
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$64.57
Typical High
$107.15

Where Ohio 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.

Ohio· 40th of 51

$61.66

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.