📋 Medical Procedure Code

B4104

Additive for enteral formula (e.g., fiber)
Other Descriptions:
TC BOVINE-BASED HUMAN MILK FORTIFIER, ADDITIVE ENTERAL FORMULA
TC PROLACT+6 HUMAN MILK-BASED FORTIFIER, ADDITIVE ENTERAL FORMULA
TC PROLACT+8 HUMAN MILK-BASED FORTILIER, ADDITIVE ENTERAL FORMULA
TC PROLACT+10 HUMAN MILK-BASED FORTILIER, ADDITIVE ENTERAL FORMULA
TC PASTEURIZED HUMAN MILK CREAM FORTIFER, ADDITIVE ENTERAL FORMULA
TC PROLACTA HUMAN MILK 26 CALORIE, ADDITIVE ENTERAL FORMULA
TC PROLACTA HUMAN MILK 28 CALORIE, ADDITIVE ENTERAL FORMULA
TC PROLACT+4 HUMAN MILK-BASED FORTIFIER, ADDITIVE ENTERAL FORMULA
Related codes:
Code: B4100
Description: Food thickener, administered orally, per ounce
HCPCS Category: Enteral and parenteral therapy
Code: B4102
Description: Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
HCPCS Category: Enteral and parenteral therapy
Code: B4103
Description: Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
HCPCS Category: Enteral and parenteral therapy
Code: B4105
Description: In-line cartridge containing digestive enzyme(s) for enteral feeding, each
HCPCS Category: Enteral and parenteral therapy

Hospital Prices in Texas

Detailed hospital-level pricing for procedure code B4105 across Texas. Compare prices from different hospitals to understand cost variations in your area.

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📊 Hospital Prices in Texas

State Average: $1,041

Hospital Address Code Price Last Updated
Texas Children's Hospital 6621 Fannin St Houston, Houston B4104 $1,041 [source] 4 years ago

ℹ️ About This Data

The prices shown are from hospital chargemaster files, which represent the list prices hospitals charge before insurance negotiations or discounts. Your actual cost may be different depending on your insurance coverage, deductibles, and negotiated rates. Always check with your insurance provider and hospital for accurate cost estimates.

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR §180.