IV push, single drug at Flagstaff Medical Center. CPT 96374.
What Flagstaff Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$112cash price (self-pay)
$225list price
$36.09–$5,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Northern Arizona Healthcare Self Pay | $112 |
| Self-Pay 50% Discount | Self-Pay 50 Discount | $112 |
| BCBS AZ | Neighborhood Network BCBS | $132 |
| Health Choice | Health Choice Generations | $138 |
| VA PCCC TriWest | Triwest Healthcare Alliance | $140 |
| Devoted | Devoted | $145 |
| Umr Nah UHC | Umr Nah UHC | $146 |
| Workers Comp | Workers Comp | $146 |
| University of Arizona Health Plans | University of Arizona Health Plan | $150 |
| BCBS Az | BCBS HMO | $165 |
| Copperpoint | Copperpoint | $165 |
| Aetna Banner | Aetna Banner | $166 |
| NAU Athletic Department | NAU Athletic Department | $180 |
| Aetna Healthcare | Aetna Commercial | $191 |
| Rural Arizona Network Multiplan | Rural Arizona Network Multiplan | $202 |
| Fmc 90/10 | Fmc 90/10 | $202 |
| Cigna Healthcare | Cigna HMO | $202 |
| United Healthcare | United Healthcare Commercial | $208 |
| Humana ChoiceCare | Humana ChoiceCare | $213 |
| United Behavioral Health | United Behavioral Health (Medicare) | $225 |
| Self Pay | Self-Pay No Discount | $225 |
| United Behavioral Health | United Behavioral Health (Commercial) | $225 |
| Health Net Federal | Health Net Federal - Tricare | $227 |
| Aetna Healthcare | Aetna Med Advantage | $239 |
| Humana | Humana Managed Medicare | $239 |
| Medicare | Medicare | $239 |
| FMC 30/70 | Medicare Other | $239 |
| United Healthcare | Medicare UHC | $239 |
| Mercy Care Advantage | Mercy Care Advantage | $239 |
| Rehabilitation Hospital of Northern Arizona | Rehabilitation Hospital | $239 |
Inpatient
$112cash price (self-pay)
$225list price
$78.60–$225range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Umr Nah UHC | Umr Nah UHC | $78.60 |
| Self Pay | Northern Arizona Healthcare Self Pay | $112 |
| Self-Pay 50% Discount | Self-Pay 50 Discount | $112 |
| Workers Comp | Workers Comp | $146 |
| Aetna Banner | Aetna Banner | $166 |
| NAU Athletic Department | NAU Athletic Department | $180 |
| Cigna Healthcare | Cigna HMO | $202 |
| Fmc 90/10 | Fmc 90/10 | $202 |
| Rural Arizona Network Multiplan | Rural Arizona Network Multiplan | $202 |
| United Healthcare | United Healthcare Commercial | $208 |
| Humana ChoiceCare | Humana ChoiceCare | $213 |
| Self Pay | Self-Pay No Discount | $225 |
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