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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Nebraska 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?

$263

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $263 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 $263
FacilityA hospital or hospital-owned outpatient department$263$263 to $263

How much rates vary

Facilitymedian $263 · 10th to 90th $263 to $1,202Professionalmedian $245 · 10th to 90th $178 to $1,122
$100$200$500$1K$2Kfacility $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
$177.83
Median
$245.47
Typical High
$1,122.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$3,548.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$1,202.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$213.80
Typical High
$436.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$213.80
Typical High
$489.78

Where Nebraska 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.

Nebraska· 5th of 51

$263

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.