IV push, single drug at Mercy Family Medicine - Booneville. CPT 96374.
What Mercy Family Medicine - Booneville publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$81.75cash price (self-pay)
$109list price
$29.88–$152range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare Contracted [320380] | Pb Bnvar Humana Tricare | $29.88 |
| United Healthcare Contracted [320396] | Pb Stl UHC Core | $58.60 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $59.95 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $59.95 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $76.77 |
| Medicaid [20240] | Pb Bnvar Rhc Ar Medicaid | $152 |
Inpatient
$81.75cash price (self-pay)
$109list price
$29.88–$152range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare Contracted [320380] | Pb Bnvar Humana Tricare | $29.88 |
| United Healthcare Contracted [320396] | Pb Stl UHC Core | $58.60 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $59.95 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $59.95 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $76.77 |
| Medicaid [20240] | Pb Bnvar Rhc Ar Medicaid | $152 |
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