IV push, single drug at Santa Rosa Medical Center. CPT 96374.
What Santa Rosa Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$130cash price (self-pay)
$865list price
$32.32–$15,726range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | FL Medicaid | $32.32 |
| Veterans Eval Services | Veterans Eval Services | $32.62 |
| Amerigroup Medicaid | Amerigroup Medicaid FL | $35.23 |
| FL Community Care | FL Community Care | $37.17 |
| Prime Health Work Comp FL | Prime Health Work Comp FL | $143 |
| Florida Workers Compensation | FL Work Comp | $148 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $168 |
| Cigna | Cigna ALL | $196 |
| Self Pay | Self Pay | $199 |
| NODE Humana MCR PPO PFFS | NODE Humana MCR PPO PFFS | $208 |
| NODE Tricare | NODE Tricare | $211 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $219 |
| Node BCBS FL Mcr Adv | Node BCBS FL Mcr Adv | $219 |
| NODE Cigna Healthspring MCR ADV | NODE Cigna Healthspring MCR ADV | $219 |
| NODE Humana MCR HMO POS | NODE Humana MCR HMO POS | $219 |
| NODE Medicare Non Par | NODE Medicare Non Par | $219 |
| NODE Medicare Traditional | NODE Medicare Traditional | $219 |
| Node UHC Mcr Adv | Node UHC Mcr Adv | $219 |
| NODE ChampVA | NODE ChampVA | $222 |
| Hospice of NW FL | Hospice of NW FL | $222 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $222 |
| Node Va | Node Va | $222 |
| NODE Wellcare MCR ADV | NODE Wellcare MCR ADV | $230 |
| GEO Group | GEO Group | $278 |
| NODE US Dept of Labor | NODE US Dept of Labor | $278 |
| Aetna | Aetna | $313 |
| Aetna Health | Aetna NAB/First Health | $324 |
| Aetna ASA | Aetna ASA | $343 |
| Florida State Auto Insurance | State Auto Insurance FL | $444 |
| Aetna Health | Aetna INTL Passport | $485 |
Inpatient
$303cash price (self-pay)
$865list price
$168–$692range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $168 |
| Cigna | Cigna ALL | $196 |
| Self Pay | Self Pay | $199 |
| Aetna Health | Aetna INTL Passport | $485 |
| Prime Health Services | Prime Health | $692 |
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