IV push, single drug at Banner University Medical Center South. CPT 96374.
What Banner University Medical Center South publishes for this service, straight from its standard-charges file, last updated March 2, 2026.
Outpatient / ER
$70.28cash price (self-pay)
$318list price
$77.79–$2,214range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arizona Physicians IPA | Medicaid | $77.79 |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $77.79 |
| Banner University Health Plan | University Family Plan | $77.79 |
| Health Choice Arizona, Inc. | Medicaid | $77.79 |
| Health Net | Medicaid | $77.79 |
| Mercy Care | Medicaid | $77.79 |
| Aetna | Banner Employee Plans | $103 |
| Aetna | Joint Venture | $147 |
| Aetna | Designated Group | $156 |
| Aetna | Medical Rental | $168 |
| Aetna | Broad Network | $183 |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Prefe | $193 |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local | $196 |
| Banner Health | Medicare Advantage | $225 |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $225 |
| Aetna | Medicare Advantage | $225 |
| Arizona Physicians IPA | Medicare Advantage | $225 |
| Banner University Health Plan | Medicare Advantage | $225 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan | $225 |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $225 |
| Gila River Health Care Corporation | Managed Care Program | $225 |
| Health Choice Arizona, Inc. | Medicare Advantage | $225 |
| Health Net | Medicare | $225 |
| Kaiser Foundation Health Plan | Medicare Advantage | $225 |
| Mercy Care | Mercy Care Advantage | $225 |
| Humana | Medicare Advantage | $231 |
| Devoted Health Services | Medicare Advantage | $236 |
| Carelon | Medicare Advantage | $236 |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eter | $247 |
| Gold Kidney Health Plan | Medicare Advantage | $247 |
Inpatient
$70.28cash price (self-pay)
$318list price
$143–$254range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $143 |
| Plotkin Health | Plotkin Health | $143 |
| Aetna | Medical Rental | $168 |
| Quiktrip Corporation | Commercial | $172 |
| Provider Network of America | Commercial | $239 |
| Arizona Medical Network | Commercial | $254 |
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All common services at Banner University Medical Center South