IV push, single drug at Dorminy Medical Center. CPT 96374.
What Dorminy Medical Center publishes for this service, straight from its standard-charges file, last updated May 6, 2026.
Outpatient / ER
$38.63cash price (self-pay)
$98.00list price
$57.94–$525range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Pathway | Pathway | $75.67 |
| Anthem BCBS PPO | PPO | $80.26 |
| Anthem Blue Cross HMO | HMO | $80.26 |
| HealthSmart | All Commercial Plans | $92.25 |
| Aetna Commercial | PPO/HMO | $98.40 |
| Provider Network of America | All Commercial Plans | $105 |
| Principal Edge Network | All Commercial Plans | $107 |
| United HealthCare Commercial | PPO/HMO | $107 |
| Cigna Commercial | PPO/HMO | $108 |
| Humana ChoiceCare | All Commercial Plans | $108 |
| Novanet | All Commercial Plans | $111 |
| Unicare | All Commercial Plans | $111 |
| PHCS | All Commercial Plans | $111 |
| MultiPlan | PPO/HMO | $111 |
| Three Rivers Provider Network | All Commercial Plans | $117 |
| Aetna Medicare Advantage | Advantage | $185 |
| Humana Medicare Advantage | Advantage | $185 |
| Anthem Blue Cross Medicare Advantage | Advantage | $185 |
| United HealthCare Medicare Advantage | Advantage | $185 |
Inpatient
$38.63cash price (self-pay)
$123list price
$57.94–$518range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthSmart | All Commercial Plans | $92.25 |
| Aetna Commercial | PPO/HMO | $98.40 |
| Provider Network of America | All Commercial Plans | $105 |
| Principal Edge Network | All Commercial Plans | $107 |
| United HealthCare Commercial | PPO/HMO | $107 |
| Cigna Commercial | PPO/HMO | $108 |
| Humana ChoiceCare | All Commercial Plans | $108 |
| Novanet | All Commercial Plans | $111 |
| Unicare | All Commercial Plans | $111 |
| PHCS | All Commercial Plans | $111 |
| MultiPlan | PPO/HMO | $111 |
| Three Rivers Provider Network | All Commercial Plans | $117 |
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