IV push, single drug at Dodge County Hospital Authority. CPT 96374.
What Dodge County Hospital Authority publishes for this service, straight from its standard-charges file, last updated May 14, 2026.
Outpatient / ER
—cash price (self-pay)
$491list price
$74.81–$2,800range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Peach State Medicaid | HMO | $76.24 |
| Amerigroup Medicaid | PPO | $87.19 |
| Aetna Medicare Advantage | HMO | $185 |
| UHC Medicare Advantage | HMO | $185 |
| Humana Medicare PPO | PPO | $185 |
| Aetna | PPO | $368 |
| UHC Commercial | PPO | $408 |
| Cigna | PPO | $442 |
| BCBS Pathway/HMO | HMO | $541 |
| BCBS PPO/Par | PPO | $670 |
Inpatient
—cash price (self-pay)
$491list price
$1.00–$268range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | PPO | $1.00 |
| UHC Commercial | PPO | $1.00 |
| Peach State Medicaid | HMO | $1.00 |
| BCBS PPO/Par | PPO | $204 |
| Amerigroup Medicaid | PPO | $262 |
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