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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Michigan 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 October 2026.

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

$245

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $575 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$138 to $257
FacilityA hospital or hospital-owned outpatient department$575$257 to $933

How much rates vary

Facilitymedian $575 · 10th to 90th $17 to $1,288Professionalmedian $240 · 10th to 90th $6 to $282
$10$50$200$1Kfacility $575professional $240

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
Facility
Modifier
None
Typical Low
$169.82
Median
$257.04
Typical High
$645.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$223.87
Typical High
$257.04
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$25.70
Median
$33.88
Typical High
$38.90
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.98
Median
$22.39
Typical High
$25.70
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$741.31
Typical High
$1,445.44
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$138.04
Typical High
$138.04
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$16.60
Typical High
$245.47
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$229.09
Typical High
$295.12
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Priority Health
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$204.17
Typical High
$338.84

Where Michigan sits

The same service costs 3.3 times more in Iowa than in New York. 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.

Michigan· 19th of 51

$245

IA $282NY $85.11

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.