IV push, single drug at Mercy Hospital of Folsom. CPT 96374.
What Mercy Hospital of Folsom publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$199cash price (self-pay)
$728list price
$38.17–$27,872range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hill Physicians | Commercial|All Plans | $38.17 |
| Hill Physicians | Medicare|All Plans | $44.57 |
| United | Medicaid|< 21 | $57.17 |
| United | Medicaid|> 21 | $57.17 |
| Hill Physicians | Medicaid|All Plans | $69.50 |
| WCMG | Commercial|All Plans | $80.08 |
| BCBS - Anthem | Medicaid|All Plans | $94.66 |
| Molina | Medicaid|All Plans | $119 |
| California Health & Wellness | Medicaid|All Plans | $149 |
| Health Net | Medicaid|All Plans | $149 |
| Partnership Health Plan | Medicaid|All Plans | $214 |
| Western Health Advantage | Commercial|All Plans | $255 |
| BCBS - Anthem | Medicare|All Other Plans | $261 |
| Humana | Commercial|All Plans | $277 |
| Aetna | Medicare|All Plans | $277 |
| Blue Shield CA | Medicare|HMO | $277 |
| Blue Shield CA | Medicare|PPO | $277 |
| Kaiser | Medicare|All Plans | $277 |
| United | Medicare|All Plans | $277 |
| BCBS - Anthem | Medicare|Imperial | $285 |
| Kaiser | Medicaid|All Plans | $298 |
| Blue Shield CA | Commercial|ACO Trio | $357 |
| Aetna | Commercial|All Other Plans | $410 |
| Aetna | Commercial|HMO | $410 |
| Aetna | Commercial|PPO | $410 |
| Blue Shield CA | Commercial|ACO Trio CalPers | $459 |
| First Health | Commercial|All Plans | $546 |
| Healthsmart | Commercial|All Plans | $546 |
| Kaiser | Commercial|All Plans | $575 |
| Sutter Health | Commercial|All Plans | $582 |
Inpatient
$199cash price (self-pay)
$728list price
$56.32–$597range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WCMG | Commercial|All Plans | $80.08 |
| First Health | Commercial|All Plans | $546 |
| Healthsmart | Commercial|All Plans | $546 |
| Sutter Health | Commercial|All Plans | $582 |
| MultiPlan | Commercial|All Plans | $597 |
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