IV push, single drug at Holy Cross Hospital. CPT 96374.
What Holy Cross Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$189cash price (self-pay)
$425list price
$26.81–$497range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - FL | BCBS Network Blue | $150 |
| Wc Broward County | Workers Comp | $162 |
| Wc Heritage Summit | Workers Comp | $165 |
| Axis Services | International | $176 |
| Allianz Global Assistance | International | $176 |
| Ww Concierge Healthcare Service | International | $176 |
| Olympus Managed Health Care | International | $176 |
| Desjardins Financial Security Life Assurance | International | $176 |
| National Healthcare Solutions | International | $176 |
| Phcs | Phcs | $178 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $218 |
| Trustbridge | Trustbridge Hospice | $218 |
| Preferred Care Partners | Preferred Care Partners Medicare Adv HMO | $218 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $218 |
| Simply Healthcare Medicare Advantage | Simply Healthcare Medicare Adva | $222 |
| Blue Cross - FL Medicare Advantage | BCBS Medicare Advantage | $222 |
| Positive Healthcare Partners Medicare | Positive Health Partners Medic | $222 |
| Freedom Health Medicare Advantage | Freedom Health Medicare Advantage | $222 |
| Ryan White Florida Mssrp | Positive Health Partners Medicare Adv | $222 |
| Coventry Medicare Advantage | Coventry Medicare Advantage | $222 |
| Oscar Medicare Advantage | Oscar Medicare Advantage | $222 |
| Catholic Hospice | Catholic Hospice | $222 |
| Vitas Healthcare Corp | Vitas Healthcare | $222 |
| Careplus Health Plans | Careplus Medicare Advantage | $223 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $224 |
| Healthsun Medicare Advantage | Healthsun Medicare Advantage | $229 |
| Wellcare Medicare | Wellcare Medicare Advantage | $229 |
| Multiplan | Beech Street | $230 |
| Devoted Health Medicare Advantage | Devoted Health Medicare Advantage | $233 |
| Avmed Medicare | Avmed Medicare Advantage | $233 |
Inpatient
$189cash price (self-pay)
$189list price
$21.45–$189range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fresno County Ccs | Medicaid | $21.45 |
| Health Safety Net | Medicaid | $21.45 |
| Mvp Medicaid Advantage | Medicaid | $21.45 |
| Vnsny Choice Medicaid | Medicaid | $21.45 |
| Tufts Health Public Plans | Medicaid | $21.45 |
| Texas Children'S Health Plan | Medicaid | $21.45 |
| Partners Behavioral Lme | Medicaid | $21.45 |
| Vaya Health Lme | Medicaid | $21.45 |
| Sandhills Center Lme | Medicaid | $21.45 |
| Blue Cross - Sc Medicaid Advantage | Medicaid | $21.45 |
| Eastpointe Lme | Medicaid | $21.45 |
| Cardinal Innovations Lme | Medicaid | $21.45 |
| Tenncare | Medicaid | $21.45 |
| Blue Cross - Nm Medicaid Advantage | Medicaid | $21.45 |
| Prestige Health Choice | Medicaid | $21.45 |
| Molina Centennial Care | Medicaid | $21.45 |
| Security Health Medicaid | Medicaid | $21.45 |
| Medicaid - Ri | Medicaid | $21.45 |
| Medicaid - Sc | Medicaid | $21.45 |
| Medicaid - Sd | Medicaid | $21.45 |
| Medicaid - Tn | Medicaid | $21.45 |
| Medicaid - Ok | Medicaid | $21.45 |
| Medicaid - Pa | Medicaid | $21.45 |
| Medicaid - Nc | Medicaid | $21.45 |
| Medicaid - Nd | Medicaid | $21.45 |
| Medicaid - Oh | Medicaid | $21.45 |
| Caresource Medicaid | Medicaid | $21.45 |
| Blue Cross - Tn Medicaid Advantage | Medicaid | $21.45 |
| Mercycare Medicaid | Medicaid | $21.45 |
| Unity Medicaid | Medicaid | $21.45 |
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