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Parenteral Nutrition, 74 to 100 g of Protein, Premix

Montana 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?

$490

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $490 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 6 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$490$355 to $692
FacilityA hospital or hospital-owned outpatient department$490$398 to $692

How much rates vary

Facilitymedian $490 · 10th to 90th $398 to $692Professionalmedian $490 · 10th to 90th $355 to $1,778
$100.0$200.0$500.0$1.0Kfacility $490professional $490

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
$354.81
Median
$354.81
Typical High
$1,778.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$691.83
Typical High
$691.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$691.83
Typical High
$691.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$316.23
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$588.84

Where Montana 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.

Montana $490 · 1st 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.