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Parenteral Nutrition, 74 to 100 g of Protein, Premix

Iowa rates for HCPCS B4197

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 g of protein - premix

Rates data updated July 2026.

How much does Parenteral Nutrition, 74 to 100 g of Protein, Premix cost?

$355

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $417 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$339$282 to $407
FacilityA hospital or hospital-owned outpatient department$417$398 to $457

How much rates vary

Facilitymedian $417 · 10th to 90th $282 to $1,905Professionalmedian $339 · 10th to 90th $214 to $525
$200.0$500.0$1.0Kfacility $417professional $339

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
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$588.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$407.38
Typical High
$575.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$1,905.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$446.68
Typical High
$707.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$371.54
Typical High
$707.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87

Where Iowa sits

The same service costs 2.9 times more in Montana than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $355 · 23rd of 51
MT $490DE $170

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.