IV push, single drug at Veterans Memorial Hospital City Of Waukon Ia. CPT 96374.
What Veterans Memorial Hospital City Of Waukon Ia publishes for this service, straight from its standard-charges file, last updated May 11, 2026.
Outpatient / ER
$258cash price (self-pay)
$453list price
$49.95–$386range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark HMO - All Other Plans | Wellmark HMO - All Other Plans | $49.95 |
| Wellmark PPO | Wellmark PPO | $54.85 |
| Iowa Total Care Exchange | Iowa Total Care Exchange | $195 |
| UHC Mcr Adv Ip/Op Only | UHC Mcr Adv Ip/Op Only | $195 |
| UHC Va Ip/Op Only | UHC Va Ip/Op Only | $195 |
| Amerigroup Mcr Adv | Amerigroup Mcr Adv | $195 |
| Humana Mcr Adv | Humana Mcr Adv | $195 |
| Iowa Total Care Mcr Adv | Iowa Total Care Mcr Adv | $195 |
| Medica Mcr Adv | Medica Mcr Adv | $195 |
| Molina Mcr Adv | Molina Mcr Adv | $195 |
| Quartz Mcr Adv | Quartz Mcr Adv | $195 |
| Welmark Mcr Adv | Welmark Mcr Adv | $195 |
| Amerigroup Mcaid - All Other Plans | Amerigroup Mcaid - All Other Plan | $217 |
| Iowa Total Care Mcaid - All Other Plans | Iowa Total Care Mcaid - All | $231 |
| Molina Mcaid - All Other Plans | Molina Mcaid - All Other Plans | $231 |
| Coventry/Aetna Mcr Adv | Coventry/Aetna Mcr Adv | $303 |
| Quartz Comm - All Other Plans | Quartz Comm - All Other Plans | $340 |
| Humana Comm - All Other | Humana Comm - All Other | $340 |
| Medica Comm - All Other Plans | Medica Comm - All Other Plans | $361 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $385 |
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All common services at Veterans Memorial Hospital City Of Waukon Ia