HCPCS B4153
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Current code18 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1.54 – $9.18 | — | — |
| Deaconess Medical Center | $1.88 – $2.69 | — | — |
| Mary Bridge Children's Hospital | $1.79 – $3.95 | — | — |
| MultiCare Auburn Medical Center | $1.45 – $3.30 | — | — |
| MultiCare Covington Medical Center | $1.45 – $3.30 | — | — |
| MultiCare Good Samaritan Hospital | $1.79 – $3.30 | — | — |
| MultiCare Valley Hospital | $1.88 – $2.69 | — | — |
| Overlake Hospital Medical Center & Clinics | $3.08 – $3.88 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2.16 | — | — |
| Providence Holy Family Hospital | $2.16 | — | — |
| Providence Regional Medical Center Everett | $2.16 | — | — |
| Swedish Edmonds Hospital | $2.16 | — | — |
| Swedish Issaquah | $2.16 | — | — |
| Swedish Medical Center | $2.16 | — | — |
| Swedish Medical Center / Cherry Hill | $2.16 | — | — |
| Tacoma General Allenmore Hospital | $1.45 – $3.30 | — | — |
| Virginia Mason Medical Center | $3.99 – $5.46 | — | — |
| Yakima Valley Memorial | $1.73 – $2.32 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.