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Parenteral Nutrition, 74 to 100 g of Protein, Premix

Michigan 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 October 2026.

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

$389

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $851 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$138 to $407
FacilityA hospital or hospital-owned outpatient department$851$407 to $1,479

How much rates vary

Facilitymedian $851 · 10th to 90th $17 to $2,042Professionalmedian $380 · 10th to 90th $6 to $437
$10$50$200$1Kfacility $851professional $380

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
$269.15
Median
$407.38
Typical High
$549.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$354.81
Typical High
$407.38
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$39.81
Median
$53.70
Typical High
$60.26
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$26.92
Median
$35.48
Typical High
$40.74
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$1,174.90
Typical High
$2,290.87
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$169.82
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$16.22
Typical High
$389.05
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$363.08
Typical High
$457.09
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Priority Health
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$251.19
United
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$316.23
Typical High
$537.03

Where Michigan sits

The same service costs 3.2 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.

Michigan· 18th of 51

$389

IA $447NY $141

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.