IV push, single drug at Physicians Surgical Hospitals. CPT 96374.
What Physicians Surgical Hospitals publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$243cash price (self-pay)
$486list price
$23.28–$444range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicaid [1165] | BCBS Medicaid [116504] | $23.77 |
| First Care Medicaid [1372] | Firstcare Chip [137202] | $24.45 |
| First Care Medicaid [1372] | Firstcare Star Medicaid [137201] | $74.08 |
| First Care Commercial [1371] | Firstcare HMO [137103] | $151 |
| Healthcare Highways [2210] | Hch John Soules Foods [221011] | $190 |
| Healthcare Highways [2210] | Hch Broken Arrow [221012] | $190 |
| Healthcare Highways [2210] | Hch 90 Degree Benefits [221013] | $190 |
| Healthscope Benefits [2290] | Healthscope Benefits [229000] | $190 |
| Umr [2035] | Umr Oon Potter Co [203506] | $190 |
| Aetna Medicaid Replacement [3510] | Aetna Better Health [351001] | $190 |
| Cigna Medicaid Replacement [3945] | Cigna Healthspring Medicaid Replac | $190 |
| Oncology Patient Assistance Programs [2295] | Bccs Family Circle Of CA | $190 |
| Fidelis Care Of NY Medicaid Replacement [3865] | Fidelis Care Of NY Me | $190 |
| United Healthcare [2060] | United Healthcare Core Exclusive [206022] | $208 |
| Maxor Insurance [1610] | Maxor Insurance [161000] | $228 |
| Cigna [1260] | Cigna Pantex [126003] | $228 |
| Group Pension Admin [1450] | Gpa Imagine Health [145009] | $243 |
| American Healthcare [1055] | American Healthcare [105500] | $243 |
| Sana Benefits [5005] | Sana Benefits [500500] | $243 |
| Texas Rehab [1965] | Ssa [196500] | $277 |
| Nreca [1735] | Nreca [173500] | $298 |
| United Healthcare [2060] | United Healthcare Student Svc [206012] | $298 |
| Rh Administrators [1885] | Rh Administrators [188500] | $340 |
| Northamerica Administrators [1725] | Northamerica Administrators [1725 | $340 |
| Mega Life And Health [1650] | Mega Life Heatlh [165001] | $340 |
| Assurant Health [1105] | Assurant Health [110501] | $340 |
| Americas Choice Health Plans [1090] | Americas Choice Health Plans [10 | $340 |
| Federated Mutual [1365] | Federated Mutual [136500] | $340 |
| Cherokee Insurance [1245] | Cherokee Insurance [124500] | $340 |
| Healthpartners [1500] | Healthpartners [150000] | $353 |
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