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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

Pennsylvania 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?

$58.88

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $58.88 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$58.88$47.86 to $69.18
FacilityA hospital or hospital-owned outpatient department$58.88$47.86 to $309

How much rates vary

Facilitymedian $59 · 10th to 90th $48 to $447Professionalmedian $59 · 10th to 90th $29 to $129
$0.1$1$10$100$1K$10Kfacility $59professional $59

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
$47.86
Median
$47.86
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$58.88
Typical High
$363.08
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$58.88
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$53.70
Typical High
$72.44
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$302.00
Typical High
$489.78
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$66.07
Typical High
$104.71

Where Pennsylvania 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.

Pennsylvania· 41st of 51

$58.88

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.