IV push, single drug at CHI Memorial Hospital - Georgia. CPT 96374.
What CHI Memorial Hospital - Georgia publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$147cash price (self-pay)
$498list price
$74.70–$461range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Peach State | Medicaid|All Plans | $74.70 |
| Amerigroup | Medicaid|All Plans | $94.62 |
| CareSource | Medicaid|All Plans | $99.60 |
| Wellcare | Medicaid|All Plans | $99.60 |
| BCBS - TN | Commercial|Network S | $106 |
| BCBS - TN | Commercial|Network P | $134 |
| Aetna | Medicare|All Plans | $188 |
| BCBS - GA | Medicare|BlueCare | $194 |
| Cigna | Medicare|Healthspring | $198 |
| Humana | Medicare|HMO | $200 |
| Amerigroup | Medicare|All Plans | $202 |
| Humana | Medicare|All Other Plans | $207 |
| BCBS - GA | Commercial|Pathway | $313 |
| Centene | Commercial|Ambetter Exchange | $322 |
| United | Commercial|Non-Options | $389 |
| United | Commercial|Options | $389 |
| Aetna | Commercial|All Other Plans | $403 |
| Aetna | Commercial|HMO | $403 |
| Aetna | Commercial|PPO | $403 |
| BCBS - GA | Commercial|All Other Plans | $461 |
| BCBS - GA | Commercial|HMO | $461 |
Inpatient
$147cash price (self-pay)
$498list price
$403–$403range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial|All Other Plans | $403 |
| Aetna | Commercial|HMO | $403 |
| Aetna | Commercial|PPO | $403 |
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