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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Missouri 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?

$214

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 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 5 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$214$145 to $219
FacilityA hospital or hospital-owned outpatient department$263$257 to $263

How much rates vary

Facilitymedian $263 · 10th to 90th $214 to $263Professionalmedian $214 · 10th to 90th $112 to $245
$100$200$500$1Kfacility $263professional $214

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
$213.80
Median
$213.80
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$213.80
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$912.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$407.38
Typical High
$1,202.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$154.88
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$309.03

Where Missouri 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.

Missouri· 35th of 51

$214

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.