IV push, single drug at Saint Marys Hospital. CPT 96374.
What Saint Marys Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$204cash price (self-pay)
$370list price
$177–$756range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Cigna | $177 |
| Allegiance | Cigna | $177 |
| Connecticare Vip Medicare Advantage | Connecticare Medicare Advantage | $250 |
| Blue Cross - Ct (Anthem) Medicare Advantage | Anthem Mediblue Medicare | $250 |
| Medigold Medicare Advantage | Mount Carmel Health Plan Medicare Adv | $250 |
| Health New England Medicare Advantage | Health New England Medicare Ad | $252 |
| Carepartners Of Connecticut Medicare Advantage | Carepartners Medicare | $255 |
| Cca Senior Care Options | Commonwealth Care Alliance Medicare Adv | $255 |
| Wellcare Medicare | Wellcare Medicare Advantage | $255 |
| Prime Health Services Medicare Advantage | Prime Health Medicare Advan | $260 |
| United Healthcare | United Healthcare | $333 |
| Geha | United Healthcare | $333 |
| Harvard Pilgrim Healthcare | United Healthcare | $333 |
| Centivo | Centivo | $510 |
| Claimdoc | Claimdoc | $535 |
| Blue Cross - Ct (Anthem) | Anthem Individual Pathway HMO PPO | $586 |
| Blue Cross - Ct (Anthem) | Anthem Bc Prime Bcn Cent Pref Sm Grp Pth | $681 |
| Blue Care Network | Anthem | $756 |
| Blue Cross Domestic | Anthem | $756 |
| Bcn Domestic | Anthem | $756 |
| Blue Cross - Or (Regence) | Anthem | $756 |
| Blue Cross - Ok | Anthem | $756 |
| Blue Cross - Nc | Anthem | $756 |
| Blue Shield - NY Highmark Northeastern | Anthem | $756 |
| Blue Cross - Mo (Anthem) | Anthem | $756 |
| Blue Cross - Ks | Anthem | $756 |
| Blue Cross - De (Highmark) | Anthem | $756 |
| Pre-Employment | Anthem | $756 |
| Health Choices | Anthem | $756 |
| Blue Shield - NY Highmark Western | Anthem | $756 |
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