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Parenteral Nutrition, 74 to 100 g of Protein, Premix

Maryland 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?

$389

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $389 for this service. Most negotiated rates run $372 to $417.

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.

How much rates vary

Facilitymedian $417 · 10th to 90th $417 to $417Professionalmedian $389 · 10th to 90th $214 to $537
$200.0$500.0$1.0Kfacility $417professional $389

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
Professional
Modifier
Global
Typical Low
$213.80
Median
$389.05
Typical High
$537.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$741.31
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17

Where Maryland 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.

Maryland $389 · 18th 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.