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Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit cost in Texas

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Cash from
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Cash range · 0 distinct prices
$1
Insurer rates from
6
Hospitals

Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Sep 2026; each row shows its own date.

Prices by hospital

HospitalCityCashInsurer fromData date
ST DAVIDS REHABAustin—$1Mar 2026229 days old
HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKRound Rock—$1Mar 2026229 days old
ST. DAVID'S GEORGETOWN HOSPITALGeorgetown—$1Mar 2026229 days old
HEART HOSP OF AUSTINAustin—$1Mar 2026229 days old
ST. DAVID'S MEDICAL CENTERAustin—$1Sep 2026
ST.DAVIDS SURGICAL HOSPITALRound Rock—$1Mar 2026229 days old
Where this procedure name comes from

This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.

What the hospitals published for this code, in their own words:

  • Berger HospitalEf incomplete/modular
  • Bethesda Hospital Inc.Ef incomplete/modular
  • Clinton Memorial HospitalEf incomplete/modular
  • HEART HOSP OF AUSTINEnteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium ch
  • HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKEnteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium ch
  • McCullough-Hyde Memorial Hospital, Inc.Ef incomplete/modular
  • ST DAVIDS REHABEnteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium ch
  • ST. DAVID'S GEORGETOWN HOSPITALEnteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium ch
  • ST. DAVID'S MEDICAL CENTEREnteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium ch
  • ST. DAVID'S NORTH AUSTIN MEDICAL CENTEREnteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium ch

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