HCPCS B4197

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 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 B4197 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$468 – $2,41811 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$495 – $6186 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$471 – $1,1966 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$441 – $87211 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$441 – $87211 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$471 – $8726 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$495 – $7257 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$811 – $1,0233 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$5.781 plan——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$5.781 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$5.781 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$5.781 plan——
Swedish IssaquahIssaquahFile dated 2026-04-01$5.781 plan——
Swedish Medical CenterSeattleFile dated 2026-04-01$5.781 plan——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$5.781 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$441 – $87211 plans——
Virginia Mason Medical CenterSeattle$1,054 – $1,4393 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$524 – $6148 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.