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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 October 2026.

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

$269

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $331 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$269$204 to $331
FacilityA hospital or hospital-owned outpatient department$331$269 to $15,136

How much rates vary

Facilitymedian $331 · 10th to 90th $263 to $15,488Professionalmedian $269 · 10th to 90th $79 to $380
$100$200$500$1K$2K$5K$10Kfacility $331professional $269

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
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$331.13
Typical High
$15,488.17
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$288.40
Typical High
$16,218.10
Providence
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$204.17
Typical High
$269.15
United
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$331.13
Typical High
$380.19

Where Montana 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.

Montana· 2nd of 51

$269

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.