IV push, single drug at BSA Hospital. CPT 96374.
What BSA Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$102cash price (self-pay)
$1,015list price
$73.22–$863range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicaid [1165] | BCBS TX Medicaid Chip [116506] | $95.00 |
| BCBS Medicaid [1165] | BCBS Medicaid [116504] | $95.00 |
| Star Superior Medicaid [1945] | Superior Chip [194501] | $107 |
| Star Superior Medicaid [1945] | Superior Star Medicaid [194500] | $302 |
| Healthscope Benefits [2290] | Healthscope Ardent [229001] | $338 |
| Curative [7085] | Curative [708500] | $396 |
| Healthscope Benefits [2290] | Healthscope Benefits [229000] | $396 |
| Fidelis Care Of NY Medicaid Replacement [3865] | Fidelis Care Of NY Me | $396 |
| Fidelis Care Of Nj Medicaid [3770] | Wellcare Medicaid [377500] | $396 |
| United Healthcare [2060] | United Healthcare Core Exclusive [206022] | $434 |
| Cigna [1260] | Cigna Pantex [126003] | $477 |
| Nreca [1735] | Nreca [173500] | $622 |
| United Healthcare [2060] | UHC Surest Bind [206032] | $622 |
| Phcs [1780] | Phcs Multiplan [178000] | $711 |
| Phcs [1780] | Freedom Life [178009] | $711 |
| Principal Mutual Life [1845] | Principal Colorado Claims [184500] | $711 |
| Pan American Life Insurance Co [1770] | Pan American Life [177000] | $711 |
| Phoenix Home Life [1785] | Phoenix Home Life [178500] | $711 |
| Northamerica Administrators [1725] | Northamerica Administrators [1725 | $711 |
| Rh Administrators [1885] | Rh Administrators [188500] | $711 |
| Alieracare [2935] | Trinity Healthshare [293500] | $711 |
| Federated Mutual [1365] | Federated Mutual [136500] | $711 |
| Lewer Agency [1565] | Lewer Agency [156500] | $711 |
| Cherokee Insurance [1245] | Cherokee Insurance [124500] | $711 |
| Insurers Administrative Corp [1550] | Insurers Administrative Corp [15 | $711 |
| National Association Of Letter Carriers [1695] | Nalc [169500] | $737 |
| Healthpartners [1500] | Healthpartners [150000] | $737 |
| Cigna [1260] | Cigna [126008] | $737 |
| United Healthcare [2060] | United Healthcare Shared Svcs [206010] | $738 |
| Rural Carrier Benefit Plan [1895] | Rural Carrier Benefit Plan [189500 | $761 |
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