go back

Parenteral Nutrition, over 100 g of Protein, Premix

Virginia 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?

$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 $288 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 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$288$240 to $437
FacilityA hospital or hospital-owned outpatient department$468$468 to $468

How much rates vary

Facilitymedian $468 · 10th to 90th $288 to $490Professionalmedian $288 · 10th to 90th $224 to $479
$200$500$1K$2K$5K$10Kfacility $468professional $288

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
$288.40
Median
$288.40
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$489.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$478.63
Medcost
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$234.42
Sentara
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$645.65

Where Virginia 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.

Virginia· 31st of 51

$389

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.