B4104
HCPCSPharmacy & DrugsAdditive for enteral formula
Based on the latest published hospital price files, code B4104 (Additive for enteral formula) appears at 5 hospitals across 5 cities in 4 states. This is public hospital price transparency data, not a guaranteed estimate of your bill.
New to this? Read How to compare hospital prices by CPT code.
What this is
This is a drug administered by a provider (a HCPCS “J-code”), priced per a defined unit or dosage rather than per prescription.
What affects the price
The billed amount scales with the number of units given, and the same drug can be far cheaper at a retail or specialty pharmacy than administered in a hospital. If it is a self-administered medication, ask whether an outpatient prescription is an option.
Category: Pharmacy & Drugs
Published-price availability
Compare B4104 prices
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5 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| Additive for enteral formula Outpatient | CHRISTUS Trinity Mother Frances Hospital - Jacksonville | B4104 HCPCS | — | — | — | — | |
| Additive for enteral formula Outpatient | Endeavor Health Edward Hospital | B4104 HCPCS | — | — | $11.00 – $11.00 | — | |
| Additive for enteral formula Outpatient | CHRISTUS St. Vincent Regional Medical Center | B4104 HCPCS | — | — | — | — | |
| Additive for enteral formula Outpatient | CHRISTUS Louisiana Surgical Hospital | B4104 HCPCS | — | — | $0.31 – $0.31 | — | |
| Additive for enteral formula Inpatient & outpatient | William P Clements Jr University Hospital | B4104 HCPCS | — | — | $0.06 – $0.26 | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish B4104 prices
Open a hospital to see this code in the context of its full published prices.
Code B4104: frequently asked
- What does code B4104 cost?
- We have parsed hospital-published rows for B4104, but cash prices were not disclosed in every file. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code B4104?
- B4104 is the billing code hospitals use to identify "Additive for enteral formula" on their published price files. We use it to line up the same service across different hospitals.
- Why do B4104 prices differ between hospitals?
- 5 hospitals across 4 states publish a price for B4104 here. Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.