IV push, single drug at Evans Memorial Hospital. CPT 96374.
What Evans Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
—cash price (self-pay)
$295list price
$45.61–$260range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource Medicaid | HMO | $45.61 |
| Amerigroup Medicaid | HMO | $46.49 |
| Peach State Medicaid | HMO | $46.52 |
| BCBS HMO/Pathway | HMO | $154 |
| BCBS PPO | PPO | $167 |
| Cigna | PPO | $177 |
| Humana Medicare | HMO | $185 |
| United Healthcare | PPO | $192 |
| Ambetter | EPO | $241 |
| Aetna Commercial | PPO | $251 |
| Caresource Commercial | EPO | $260 |
Inpatient
—cash price (self-pay)
$295list price
$192–$203range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | PPO | $192 |
| Cigna | PPO | $203 |
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