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Parenteral Nutrition, 74 to 100 g of Protein, Premix

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $407 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$251 to $398
FacilityA hospital or hospital-owned outpatient department$407$407 to $417

How much rates vary

Facilitymedian $407 · 10th to 90th $269 to $427Professionalmedian $339 · 10th to 90th $209 to $537
$200$500$1K$2K$5K$10Kfacility $407professional $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
$251.19
Median
$251.19
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$389.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$616.60
Medcost
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$416.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$204.17
Sentara
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$407.38
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$398.11
Typical High
$10,000.00
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
$295.12
Typical High
$562.34

Where Virginia sits

The same service costs 2.9 times more in Montana than in Delaware. 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.

Virginia· 16th of 51

$389

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.