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Every billing code / Other codes / Enteral and Parenteral

HCPCS B4178

Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix

Current codeParenteral Feeding and Formula11 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$96.24 – $49811 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$102 – $1276 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$96.85 – $2466 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$90.66 – $17911 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$90.66 – $17911 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$96.85 – $1796 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$102 – $1497 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$167 – $2113 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$90.66 – $17911 plans——
Virginia Mason Medical CenterSeattle$217 – $2963 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$108 – $1268 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.