HCPCS B4162
Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, 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 | $7.01 – $7.58 | — | — |
| Deaconess Medical Center | $5.12 – $7.01 | — | — |
| Mary Bridge Children's Hospital | $7.01 – $9.02 | — | — |
| MultiCare Auburn Medical Center | $7.01 – $9.02 | — | — |
| MultiCare Covington Medical Center | $7.01 – $9.02 | — | — |
| MultiCare Good Samaritan Hospital | $7.01 – $9.02 | — | — |
| MultiCare Valley Hospital | $5.12 – $7.01 | — | — |
| Overlake Hospital Medical Center & Clinics | $7.00 – $7.78 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $6.05 | — | — |
| Providence Holy Family Hospital | $6.05 | — | — |
| Providence Regional Medical Center Everett | $6.05 | — | — |
| Swedish Edmonds Hospital | $6.05 | — | — |
| Swedish Issaquah | $6.05 | — | — |
| Swedish Medical Center | $6.05 | — | — |
| Swedish Medical Center / Cherry Hill | $6.05 | — | — |
| Tacoma General Allenmore Hospital | $7.01 – $9.02 | — | — |
| Virginia Mason Medical Center | $11.65 | — | — |
| Yakima Valley Memorial | $6.35 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.