IV push, single drug at Mercy Hospital Northwest Arkansas. CPT 96374.
What Mercy Hospital Northwest Arkansas publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$166cash price (self-pay)
$255list price
$46.41–$337range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $46.41 |
| Edison Health Solutions Contracted [320502] | Hb Rogr Dec Woodard | $63.75 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Bartel | $63.75 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Tall Tree | $63.75 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Schaefer Qcg | $63.75 |
| United Medical Resources Contracted [320454] | Hb Rogr UHC | $64.00 |
| United Healthcare Contracted [320396] | Hb Rogr UHC | $64.00 |
| United Healthcare [20396] | Hb Rogr UHC | $64.00 |
| Show-Me Health Administrators Contracted [320483] | Hb Ftsm Rogr Dec A | $128 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Show Me | $128 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Town And Coiuntr | $128 |
| Cigna Healthcare Contracted [320071] | Hb Rogr Cigna | $133 |
| Imagine 360 Contracted [320494] | Hb Ftsm Rogr Dec Robinson Constructi | $153 |
| Ebms Contracted [320493] | Hb Rogr Crader | $153 |
| REFLECT HEALTH CONTRACTED [320492] | HB ROGR DEC WWWood Products | $153 |
| Healthlink Contracted [320179] | Hb Ftsm Rogr Cah Dec Sapaugh | $153 |
| Ebms [20493] | Hb Rogr Crader | $153 |
| Municipal Health Plan Contracted [320271] | Hb Rogr Municipal Health B | $153 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Rogr Dec Easter Seal | $153 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Rogr Dec City Of Jac | $153 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Rogr Cah Dec Sapaugh | $153 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Herman | $153 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Quiktrip Co | $153 |
| Federal Medical Center Contracted [320127] | Hb Rogr Network Affiliati | $166 |
| Personify Health Contracted [320051] | Hb Rogr Network Affiliation | $166 |
| Benefit Management Contracted [320052] | Hb Rogr Network Affiliation | $166 |
| Healthlink Contracted [320179] | Hb Rogr Network Affiliation | $166 |
| Point C Contracted [320238] | Hb Rogr Network Affiliation | $166 |
| Workers Comp [20426] | Hb Rogr Work Comp Aetna/Coventry | $166 |
| Novasys Contracted [320285] | Hb Rogr Novasys | $179 |
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