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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Ohio 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?

$191

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 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$191$148 to $191
FacilityA hospital or hospital-owned outpatient department$263$263 to $269

How much rates vary

Facilitymedian $263 · 10th to 90th $245 to $316Professionalmedian $191 · 10th to 90th $112 to $245
$2.0$10.0$50.0$200.0$1.0Kfacility $263professional $191

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
$190.55
Median
$190.55
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$269.15
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$138.04
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$199.53
Typical High
$331.13

Where Ohio sits

The same service costs 2.6 times more in Montana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Ohio $191 · 40th of 51
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.