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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Virginia 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?

$245

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $257 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 7 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$214$158 to $251
FacilityA hospital or hospital-owned outpatient department$257$257 to $263

How much rates vary

Facilitymedian $257 · 10th to 90th $170 to $275Professionalmedian $214 · 10th to 90th $132 to $339
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $257professional $214

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
$158.49
Median
$158.49
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$309.03
Typical High
$389.05
Medcost
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$269.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$131.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$354.81

Where Virginia 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.

Virginia $245 · 16th 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.