IV push, single drug at Banner Payson Medical Center. CPT 96374.
What Banner Payson Medical Center publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$143cash price (self-pay)
$295list 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 |
| Aetna | Banner Employee Plans | $118 |
| Banner Health | Medicare Advantage | $121 |
| Aetna | Medicare Advantage | $121 |
| Arizona Physicians IPA | Medicare Advantage | $121 |
| Banner University Health Plan | Medicare Advantage | $121 |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $121 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Me | $121 |
| Gila River Health Care Corporation | Managed Care Program | $121 |
| Health Choice Arizona, Inc. | Medicare Advantage | $121 |
| Health Net | Medicare | $121 |
| Kaiser Foundation Health Plan | Medicare Advantage | $121 |
| Mercy Care | Mercy Care Advantage | $121 |
| Carekin | Medicare Advantage | $127 |
| Humana | Medicare Advantage | $128 |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $133 |
| Plotkin Health | Plotkin Health | $133 |
| Arizona Priority Care | Medicare Advantage | $133 |
| Devoted Health Services | Medicare Advantage | $133 |
| Gold Kidney Health Plan | Medicare Advantage | $133 |
| Aetna | Joint Venture | $154 |
| Health Choice Arizona, Inc. | ACA Health Plan | $181 |
| Health Net | Commerical Exchange Product | $183 |
| Aetna | Medical Rental | $186 |
| Aetna | Broad Network | $192 |
| Oscar Health Plan | Commercial | $200 |
Inpatient
$143cash price (self-pay)
$295list price
$133–$266range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $133 |
| Plotkin Health | Plotkin Health | $133 |
| Aetna | Medical Rental | $186 |
| Quiktrip Corporation | Commercial | $205 |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local | $229 |
| Arizona Medical Network | Commercial | $255 |
| Provider Network of America | Commercial | $266 |
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