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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

Oregon 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?

$81.28

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $81.28 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$0.09 to $93.33
FacilityA hospital or hospital-owned outpatient department$81.28$81.28 to $83.18

How much rates vary

Facilitymedian $81 · 10th to 90th $72 to $145Professionalmedian $71 · 10th to 90th $0 to $204
$0.1$1$10$100facility $81professional $71

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
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$208.93
Typical High
$213.80
Moda Health
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$81.28
Typical High
$100.00
Moda Health
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$81.28
Typical High
$89.13
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$83.18
Providence
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$74.13
Typical High
$95.50
Providence
Setting
Professional
Modifier
None
Typical Low
$0.09
Median
$0.09
Typical High
$89.13
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$181.97
Typical High
$323.59
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$134.90
Typical High
$295.12

Where Oregon 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.

Oregon· 14th of 51

$81.28

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.