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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 October 2026.

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

$355

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $389 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$251 to $398
FacilityA hospital or hospital-owned outpatient department$389$302 to $407

How much rates vary

Facilitymedian $389 · 10th to 90th $234 to $631Professionalmedian $339 · 10th to 90th $214 to $525
$200$500$1K$2K$5K$10Kfacility $389professional $339

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
$251.19
Median
$251.19
Typical High
$389.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$389.05
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$38.02
Median
$38.02
Typical High
$57.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$25.12
Median
$25.12
Typical High
$38.90
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$398.11
Typical High
$398.11
CareFirst
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$562.34
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$489.78
Typical High
$616.60
Medcost
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Medcost
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$275.42
Typical High
$416.87
Medcost
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$204.17
Sentara
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$338.84
Typical High
$891.25
Sentara
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$338.84
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$380.19
Typical High
$549.54

Where Virginia 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.

Virginia· 20th of 51

$355

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.