IV push, single drug at Saint John Hospital. CPT 96374.
What Saint John Hospital publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$200cash price (self-pay)
$258list price
$24.42–$258range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Traditional Medicaid | Traditional Medicaid | $24.42 |
| UHC | UHC Medicaid | $24.42 |
| Celtic | Celtic Medicaid | $24.91 |
| Healthy Blue | Healthy Blue Medicaid (01/01/2025 to 12/31/2026) | $24.91 |
| OHA Networks | OHA NETWORKS WC | $77.64 |
| Worker Compensation | Worker Compensation | $80.04 |
| BCBS | BCBS Commercial PPO Value Blue | $121 |
| Aetna | Aetna Medicare | $200 |
| Cigna | Cigna Healthspring | $200 |
| Ever north FKA Cigna Behavioral Health | Ever north FKA Cigna Behavior | $200 |
| Health Net Federal Service (Tricare) | Health Net Federal Service | $200 |
| Midland Care Connection | Midland Care Connection Medicare | $200 |
| Traditional Medicare | Traditional Medicare | $200 |
| Tricare | Tricare | $200 |
| UHC | UHC Medicare | $200 |
| UHC | UHC Va Ccn | $200 |
| Kansas Superior Select | Kansas Superior Medicare | $204 |
| Celtic | Celtic Medicare | $210 |
| Healthy Blue | Healthy Blue Medicare | $210 |
| BCBS | BCBS Commercial PPO Blue Choice | $243 |
| BCBS | BCBS Commercial Traditional | $255 |
| Celtic | Celtic Commercial Exchange | $258 |
| Celtic | Home State Health Plan Ins Exchange | $258 |
| Centurion | Centurion | $258 |
| Corizon | Corizon | $258 |
| Employer Direct Healthcare | Employer Direct Healthcare Commercial | $258 |
| Naphcare | Naphcare | $258 |
| UHC | UHC Commercial Exchange | $258 |
| Well Path | WellPath | $258 |
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