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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Oregon 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?

$251

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $251 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 8 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$224$191 to $269
FacilityA hospital or hospital-owned outpatient department$251$251 to $251

How much rates vary

Facilitymedian $251 · 10th to 90th $251 to $257Professionalmedian $224 · 10th to 90th $98 to $1,122
$20$50$100$200$500$1Kfacility $251professional $224

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
$97.72
Median
$213.80
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$616.60
Typical High
$660.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$309.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$269.15
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$257.04
Providence
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$213.80
Typical High
$309.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$120.23
Typical High
$275.42
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$776.25
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$724.44

Where Oregon 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.

Oregon· 11th of 51

$251

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.