HCPCS B4154
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Current code11 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 | $1.01 – $4.83 | — | — |
| Deaconess Medical Center | $1.00 – $1.50 | — | — |
| Mary Bridge Children's Hospital | $1.40 – $1.99 | — | — |
| MultiCare Auburn Medical Center | $1.13 – $1.72 | — | — |
| MultiCare Covington Medical Center | $1.13 – $1.72 | — | — |
| MultiCare Good Samaritan Hospital | $1.13 – $1.72 | — | — |
| MultiCare Valley Hospital | $1.00 – $1.50 | — | — |
| Overlake Hospital Medical Center & Clinics | $1.62 – $2.04 | — | — |
| Tacoma General Allenmore Hospital | $1.13 – $1.72 | — | — |
| Virginia Mason Medical Center | $2.07 – $2.87 | — | — |
| Yakima Valley Memorial | $1.01 – $1.21 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.