IV push, single drug at Banner Page Hospital. CPT 96374.
What Banner Page Hospital publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$169cash price (self-pay)
$463list price
$77.79–$1,910range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arizona Physicians IPA | Medicaid | $77.79 |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $77.79 |
| Health Choice Arizona, Inc. | Medicaid | $77.79 |
| Health Net | Medicaid | $77.79 |
| Mercy Care | Mercy Medicaid | $77.79 |
| Plotkin Health | Plotkin Health | $208 |
| Aetna | Banner Employee Plans | $233 |
| Banner Health | Medicare Advantage | $245 |
| Aetna | Medicare Advantage | $245 |
| Arizona Physicians IPA | Medicare Advantage | $245 |
| Banner University Health Plan | Medicare Advantage | $245 |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $245 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Me | $245 |
| Gila River Health Care Corporation | Managed Care Program | $245 |
| Health Choice Arizona, Inc. | Medicare Advantage | $245 |
| Health Net | Medicare | $245 |
| Kaiser Foundation Health Plan | Medicare Advantage | $245 |
| Mercy Care | Mercy Care Advantage | $245 |
| Carekin | Medicare Advantage | $258 |
| Humana | Medicare Advantage | $260 |
| Arizona Priority Care | Medicare Advantage | $270 |
| Devoted Health Services | Medicare Advantage | $270 |
| Gold Kidney Health Plan | Medicare Advantage | $270 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $286 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance/BXBSAZ Blue HPN | $305 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $320 |
| Aetna | Joint Venture | $336 |
| Coconino County Sheriff's Department | Commercial | $338 |
| Health Choice Arizona, Inc. | ACA Health Plan | $368 |
| Health Net | Commerical Exchange Product | $371 |
Inpatient
$169cash price (self-pay)
$463list price
$208–$440range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Plotkin Health | Plotkin Health | $208 |
| Quiktrip Corporation | Commercial | $324 |
| Coconino County Sheriff's Department | Commercial | $338 |
| Aetna | Medical Rental | $413 |
| Provider Network of America | Commercial | $417 |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local | $426 |
| Arizona Medical Network | Commercial | $435 |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $440 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.