IV push, single drug at Louis A. Weiss Memorial Hospital. CPT 96374.
What Louis A. Weiss Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 17, 2025.
Outpatient / ER
$65.27cash price (self-pay)
$312list price
$31.93–$393range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Precision HMO | $51.90 |
| Blue Cross | HMO | $56.02 |
| Blue Cross | PPO | $76.25 |
| Aetna | EPO/HMO/POS/PPO/Choice/NAP | $78.03 |
| Cigna | All Commercial Plans | $79.59 |
| NALC | All Commercial Plans | $79.59 |
| Aetna Rental Network | All Plans | $203 |
| Blue Cross | Blue Advantage MMAI | $213 |
| Humana | MMAI | $213 |
| Aetna | Medicare Advantage HMO/PPO | $220 |
| Ambetter | Marketplace | $220 |
| Blue Cross | Medicare Advantage | $220 |
| Cigna Healthspring | Medicare Advantage | $220 |
| Humana | Medicare Advantage Gold Plan | $220 |
| Longevity | Medicare Advantage | $220 |
| Wellcare | Medicare Advantage | $220 |
| Zing | Medicare Advantage | $220 |
| Oscar | Medicare Advantage | $224 |
| United Healthcare | Navigate | $271 |
| Golden Rule | All Commercial Plans | $393 |
| United Healthcare | All Other Commercial Plans | $393 |
Inpatient
$65.27cash price (self-pay)
$312list price
$125–$251range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Rental Network | All Plans | $203 |
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