IV push, single drug at Alton Memorial Hospital. CPT 96374.
What Alton Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 15, 2025.
Outpatient / ER
$242cash price (self-pay)
$404list price
$103–$626range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna [200] | Bjc Hb Aetna Commercial Community | $103 |
| Mail Handlers [495] | Bjc Hb Aetna Commercial Community | $103 |
| Allied Benefits [498] | Bjc Hb Aetna Commercial Community | $103 |
| Healthlink [225] | Bjc Hb Healthlink Soi Community | $196 |
| Health Alliance [224] | Bjc Hb Health Alliance Community | $222 |
| Aetna Medicare [211] | Bjc Hb Medicare Advantra Amh | $228 |
| Aetna Medicare [211] | Bjc Hb Medicare Gold Advantage Amh | $228 |
| Blue Cross Blue Shield Medicare [263] | Bjc Hb Medicare Anthem Advanta | $228 |
| Humana Medicare Alt [672] | Bjc Hb Medicare Humana Amh | $228 |
| United Healthcare Medicare [251] | Bjc Hb Medicare UHC Amh | $228 |
| Hope Trust [806] | Bjc Hb Hope Trust | $234 |
| Essence Healthcare [221] | Bjc Hb Medicare Essence Amh | $235 |
| Cox Health [757] | Bjc Hb Medicare Coxhealth Amh | $239 |
| Medica [662] | Bjc Hb Medicare Wellfirst Amh | $239 |
| Cox Health Systems Insurance Company [220] | Bjc Hb Cox Health Network | $240 |
| Consociate [478] | Bjc Hb Consociate Care Coe Community | $244 |
| Consociate [478] | Bjc Hb Consociate Care D2e Community | $244 |
| Sarah Bush Lincoln [636] | Bjc Hb Consociate Care Coe Community | $244 |
| Healthlink [225] | Bjc Hb Healthlink HMO Community | $263 |
| Blue Cross Blue Shield [205] | Bjc Hb Anthem Choice Community | $264 |
| Blue Cross Blue Shield Traditional [500] | Bjc Hb Anthem Choice Commun | $264 |
| Blue Cross Blue Shield [205] | Bjc Hb Anthem Access Community | $267 |
| Blue Cross Blue Shield Traditional [500] | Bjc Hb Anthem Access Commun | $267 |
| Aetna [200] | Bjc Hb Aetna National | $300 |
| Aetna [200] | Bjc Hb First Health | $300 |
| First Health Commercial [734] | Bjc Hb First Health | $300 |
| Aetna [200] | Bjc Hb Group Health Plan PPO Select | $303 |
| Detego Health [868] | Bjc Hb Phcs Community | $303 |
| Health Systems Inc [620] | Bjc Hb Phcs Community | $303 |
| Healthcare Sol Mercy [609] | Bjc Hb St Johns Health System | $303 |
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