IV push, single drug at Sullivan County Community Hospital. CPT 96374.
What Sullivan County Community Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$201cash price (self-pay)
$272list price
$75.80–$272range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Mcr Adv | BCBS Mcr Adv | $81.60 |
| Ambetter Comm-Exch - All Plans | Ambetter Comm-Exch - All Plans | $81.60 |
| BCBS Essential | BCBS Essential | $81.60 |
| Mdwise Mcr Adv | Mdwise Mcr Adv | $81.60 |
| Va Ccn - All Plans | Va Ccn - All Plans | $81.60 |
| Humana Mcr Adv | Humana Mcr Adv | $82.42 |
| BCBS Healthsync | BCBS Healthsync | $96.94 |
| BCBS Pathway X | BCBS Pathway X | $96.94 |
| BCBS HMO | BCBS HMO | $120 |
| BCBS PPO | BCBS PPO | $121 |
| BCBS Pathway | BCBS Pathway | $121 |
| BCBS Trad - All Other Plans | BCBS Trad - All Other Plans | $144 |
| Siho - All Plans | Siho - All Plans | $204 |
| Mhs Hlthy In Mcaid | Mhs Hlthy In Mcaid | $217 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $231 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $231 |
| Humana Mcaid | Humana Mcaid | $272 |
| Mhs Mcaid - All Other Plans | Mhs Mcaid - All Other Plans | $272 |
| Mdwise Mcaid - All Other Plans | Mdwise Mcaid - All Other Plans | $272 |
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