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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Montana 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?

$316

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $316 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$316$224 to $447
FacilityA hospital or hospital-owned outpatient department$316$251 to $447

How much rates vary

Facilitymedian $316 · 10th to 90th $251 to $447Professionalmedian $316 · 10th to 90th $224 to $1,122
$100$200$500$1Kfacility $316professional $316

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
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$436.52
Typical High
$446.68
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$436.52
Typical High
$446.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$204.17
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$380.19

Where Montana 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.

Montana· 1st of 51

$316

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.