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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Pennsylvania 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?

$182

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $182 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$182$148 to $214
FacilityA hospital or hospital-owned outpatient department$182$148 to $955

How much rates vary

Facilitymedian $182 · 10th to 90th $148 to $1,380Professionalmedian $182 · 10th to 90th $110 to $398
$100.0$500.0$2.0K$10.0K$50.0Kfacility $182professional $182

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
$147.91
Median
$147.91
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$1,122.02
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$181.97
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$223.87
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$954.99
Typical High
$1,659.59
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$323.59

Where Pennsylvania 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.

Pennsylvania $182 · 41st 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.