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Parenteral Nutrition, 74 to 100 g of Protein, Premix

Massachusetts 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?

$363

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $646 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$363$209 to $363
FacilityA hospital or hospital-owned outpatient department$646$417 to $776

How much rates vary

Facilitymedian $646 · 10th to 90th $155 to $1,259Professionalmedian $363 · 10th to 90th $155 to $603
$100.0$1.0K$10.0Kfacility $646professional $363

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
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$812.83
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$1,258.93
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$234.42
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$602.56
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$1,258.93
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$457.09
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
$363.08
Typical High
$524.81

Where Massachusetts 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.

Massachusetts $363 · 21st 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.