IV push, single drug at Walter Knox Memorial Hospital. CPT 96374.
What Walter Knox Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$248cash price (self-pay)
$261list price
$119–$256range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare Triwest - All Plans | Tricare Triwest - All Plans | $119 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $123 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $123 |
| Regence Bs Triwest - All Plans | Regence Bs Triwest - All Plans | $123 |
| UHC Mcr Adv | UHC Mcr Adv | $123 |
| Aetna Mcr Adv | Aetna Mcr Adv | $123 |
| Humana Mcr Adv | Humana Mcr Adv | $123 |
| Molina Mcr Adv - All Plans | Molina Mcr Adv - All Plans | $123 |
| Pacificsource Mcr Adv | Pacificsource Mcr Adv | $129 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $218 |
| Cigna Oap | Cigna Oap | $236 |
| Cigna PPO - All Other Plans | Cigna PPO - All Other Plans | $241 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $241 |
| Blue Cross Qhp | Blue Cross Qhp | $243 |
| Pacificsource Comm - All Other Plans | Pacificsource Comm - All Other | $248 |
| Blue Shield Comm - All Other Plans | Blue Shield Comm - All Other Plan | $248 |
| Moda Health - All Plans | Moda Health - All Plans | $248 |
| Select Health Comm - All Other Plans | Select Health Comm - All Other | $248 |
| Blue Cross Comm - All Other Plans | Blue Cross Comm - All Other Plans | $256 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $256 |
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