Intravenous nutrition solution with amino acids, sugars, and vitamins at Proctor Community Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CLINIMIX 4.25 % IN 10 % DEXTROSE SULFITE FREE INTRAVENOUS SOLUTION

Peoria, IL

See all hospitals reporting HCPCS B4189 →

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How this price compares nationally

Proctor Community Hospital’s median price of $230 is 11% below the median hospital's median price ($258), higher than 18% of the 588 hospitals reporting HCPCS B4189. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS B4189 at Proctor Community Hospital

Negotiated rates from the hospital’s own file: 9 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges	$88	$113	$35	31%	—	$71 – $161
2	Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges	$88	$113	$35	31%	—	$71 – $161
3	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$106	$135	$42	31%	—	$86 – $193
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$106	$135	$42	31%	—	$86 – $193
5	Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges	$106	$135	$42	31%	—	$86 – $193
6	Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges	$138	$176	$55	31%	—	$111 – $251
7	Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges	$138	$176	$55	31%	—	$111 – $251
8	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$140	$178	$56	31%	—	$113 – $255
9	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$183	$185	$57	31%	—	$115 – $259
10	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$183	$185	$57	31%	—	$115 – $259
11	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$212	$212	—	—	—	$212 – $212
12	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
13	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$170	$217	$68	31%	—	$137 – $311
14	Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges	$173	$221	$69	31%	—	$140 – $316
15	MultiPlan ppo percent of total billed charges · inpatientfrom % of charges	$177	$225	$70	31%	—	$143 – $322
16	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$177	$225	$70	31%	—	$143 – $322
17	Aetna medicare advantage case rate · outpatient	$263	$263	—	—	—	$263 – $263
18	Blue Cross Blue Shield medicare advantage case rate · outpatient	$263	$263	—	—	—	$263 – $263
19	Humana medicare advantage case rate · outpatient	$263	$263	—	—	—	$263 – $263
20	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$263	$263	—	—	—	$263 – $263
21	Molina medicare-medicaid (mmai/dual) case rate · outpatient	$263	$263	—	—	—	$263 – $263
22	UnitedHealthcare medicare advantage case rate · outpatient	$263	$263	—	—	—	$263 – $263
23	UnitedHealthcare va ccn case rate · outpatient	$263	$263	—	—	—	$263 – $263
24	WellCare medicare advantage hmo case rate · outpatient	$263	$263	—	—	—	$263 – $263
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$237	$302	$94	31%	—	$191 – $432

Page 1 of 2 · 26 rates

Last updated: Apr 15, 2026

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See Intravenous nutrition solution with amino acids, sugars, and vitamins pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.