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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Massachusetts rates for HCPCS B4189

Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 g of protein, premix

Rates data updated July 2026.

How much does Parenteral Nutrition, 10 to 51 g of Protein, Premix cost?

$234

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $417 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 8 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$234$132 to $234
FacilityA hospital or hospital-owned outpatient department$417$263 to $490

How much rates vary

Facilitymedian $417 · 10th to 90th $98 to $794Professionalmedian $234 · 10th to 90th $98 to $389
$100$200$500$1K$2K$5Kfacility $417professional $234

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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$512.86
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$812.83
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$251.19
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$165.96
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$389.05
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$812.83
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$251.19
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$234.42
Typical High
$331.13

Where Massachusetts sits

The same service costs 2.6 times more in Montana than in West Virginia. 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.

Massachusetts· 22nd of 51

$234

MT $316WV $120

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.