go back

Parenteral Nutrition, 10 to 51 g of Protein, Premix

Texas 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?

$219

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $224 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$170 to $224
FacilityA hospital or hospital-owned outpatient department$224$145 to $263

How much rates vary

Facilitymedian $224 · 10th to 90th $102 to $263Professionalmedian $219 · 10th to 90th $120 to $263
$100$200facility $224professional $219

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
Facility
Modifier
None
Typical Low
$218.78
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$218.78
Typical High
$223.87
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$25.70
Median
$33.11
Typical High
$33.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.98
Median
$21.88
Typical High
$22.39
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Moda Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$218.78
Typical High
$263.03
Moda Health
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$218.78
Typical High
$223.87
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$26.30
Median
$33.11
Typical High
$33.88
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$17.38
Median
$21.88
Typical High
$22.39
Molina
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$199.53
Typical High
$199.53
Providence
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$223.87
Typical High
$316.23
Providence
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$186.21
Typical High
$263.03
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$263.03

Where Texas 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.

Texas· 25th of 51

$219

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.