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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 July 2026.

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

$245

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $263 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$245$186 to $257
FacilityA hospital or hospital-owned outpatient department$263$245 to $269

How much rates vary

Facilitymedian $263 · 10th to 90th $245 to $912Professionalmedian $245 · 10th to 90th $89 to $257
$10$50$200$1Kfacility $263professional $245

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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$776.25
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$15.49
Typical High
$245.47
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$190.55
Typical High
$316.23
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
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
$204.17
Typical High
$331.13

Where Michigan 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.

Michigan· 18th of 51

$245

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.