IV push, single drug at Fairview Park Hospital. CPT 96374.
What Fairview Park Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$314cash price (self-pay)
$363list price
$45.84–$552range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | MCD | $48.64 |
| Peach State (Ambetter) | HIX | $53.00 |
| Friday Health | HIX | $54.45 |
| NHC Advantage | MGMCR | $68.97 |
| Pruitt Health | MCR | $68.97 |
| Peach State | MGMCD | $72.60 |
| Wellcare | MCD | $72.60 |
| Memorial Health Plan | EMPLOYEEPLAN | $79.86 |
| United | OptionsPPO | $89.66 |
| Aetna | QualifiedHealthPlan | $93.87 |
| Cigna | LocalPlus | $98.74 |
| Centurion | PRISN | $101 |
| Americas 1st Choice | MCR | $102 |
| Leavitt Risk Partners | COMM | $109 |
| Memorial Health Plan | HEALTHGRAM | $123 |
| Aetna | HMO | $125 |
| Aetna | OpenAccess | $125 |
| Aetna | POS | $125 |
| Aetna | PPO | $125 |
| Cigna | HMO | $132 |
| Cigna | OAP | $132 |
| Cigna | PPO | $132 |
| Memorial Health Plan | COMM | $134 |
| Memorial Health Plan | CORECOMMUNITYCARE | $160 |
| Memorial Health Plan | COASTALHEALTHPLAN | $163 |
| United | GlobalBenefitPlan | $163 |
| Health One Alliance | COMMHIX | $163 |
| Dodge County Hospital | COMM | $182 |
| Aetna | NAP | $200 |
| American Steel Products | COMM | $309 |
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