IV push, single drug at Mercy Gilbert Medical Center. CPT 96374.
What Mercy Gilbert Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$76.26cash price (self-pay)
$1,032list price
$38.27–$1,239range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Choice | Medicaid|All Plans | $38.27 |
| United | Medicaid|All Plans | $38.27 |
| United | Commercial|DignityHealthEmployee | $144 |
| Mercy Care Plan | Medicaid|All Plans | $225 |
| Aetna | Medicare|All Plans | $225 |
| BCBS - AZ | Medicare|All Plans | $225 |
| Care 1st | Medicare|All Plans | $225 |
| Cigna | Medicare|All Plans | $225 |
| First Health | Medicare|All Plans | $225 |
| Health Choice | Medicare|All Plans | $225 |
| Humana | Medicare|All Plans | $225 |
| Mercy Care Plan | Medicare|All Plans | $225 |
| United | Medicare|All Plans | $230 |
| BCBS - AZ | Commercial|MaricopaFocus | $239 |
| BCBS - AZ | Commercial|Neighborhood | $239 |
| BCBS - AZ | Commercial|All Other Plans | $319 |
| United | Commercial|Navigate | $330 |
| United | Commercial|All Other Plans | $394 |
| United | Commercial|Options PPO | $396 |
| BCBS - AZ | Commercial|Workers Comp | $473 |
| Aetna | Commercial|All Other Plans | $537 |
| Aetna | Commercial|HMO | $537 |
| Aetna | Commercial|PPO | $537 |
| Connected Care | Commercial|Intel | $545 |
| First Health | Commercial|All Plans | $557 |
| MultiPlan | Commercial|All Plans | $795 |
Inpatient
$76.26cash price (self-pay)
$1,032list price
$167–$954range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Health | Commercial|All Plans | $557 |
| MultiPlan | Commercial|All Plans | $795 |
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