HCPCS B4189

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix

Current codeParenteral Feeding and Formula18 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.

Prices for HCPCS B4189 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$297 – $1,53711 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$315 – $3936 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$299 – $7606 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$280 – $55411 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$280 – $55411 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$299 – $5546 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$315 – $4617 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$516 – $6513 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$5.761 plan——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$5.761 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$5.761 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$5.761 plan——
Swedish IssaquahIssaquahFile dated 2026-04-01$5.761 plan——
Swedish Medical CenterSeattleFile dated 2026-04-01$5.761 plan——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$5.761 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$280 – $55411 plans——
Virginia Mason Medical CenterSeattle$670 – $9153 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$333 – $3908 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.