go back

Parenteral Nutrition, over 100 g of Protein, Premix

Missouri rates for HCPCS B4199

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 g of protein - premix

Rates data updated July 2026.

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

$380

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $468 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 5 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$380$269 to $398
FacilityA hospital or hospital-owned outpatient department$468$468 to $468

How much rates vary

Facilitymedian $468 · 10th to 90th $380 to $468Professionalmedian $380 · 10th to 90th $224 to $437
$200$500$1K$2Kfacility $468professional $380

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
$380.19
Median
$380.19
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$380.19
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$1,621.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$741.31
Typical High
$2,187.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$281.84
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$562.34

Where Missouri sits

The same service costs 2.7 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.

Missouri· 33rd of 51

$380

MT $562DE $209

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.