IV push, single drug at Breckinridge Memorial Hospital. CPT 96374.
What Breckinridge Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 16, 2026.
Outpatient / ER
$287cash price (self-pay)
$573list price
$44.51–$573range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health Medicaid | Aetna Better Health Medicaid | $44.51 |
| Blue Cross Medicaid | Blue Cross Medicaid | $44.51 |
| Wellcare Mcaid - All Other Plans | Wellcare Mcaid - All Other Plans | $44.51 |
| Tricare - All Plans | Tricare - All Plans | $186 |
| Molina Mcr Adv - All Plans | Molina Mcr Adv - All Plans | $198 |
| University Health Care - All Other Plans | University Health Care - Al | $201 |
| Caresource - All Plans | Caresource - All Plans | $206 |
| UHC Va Ccn | UHC Va Ccn | $206 |
| Wellcare Mcr Adv | Wellcare Mcr Adv | $206 |
| Aetna Mcr Adv | Aetna Mcr Adv | $206 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $206 |
| UHC Mcr Adv | UHC Mcr Adv | $206 |
| University Health Care Mcr Adv | University Health Care Mcr Adv | $206 |
| Ambetter Comm/Exch - All Plans | Ambetter Comm/Exch - All Plans | $227 |
| Aetna Commercial - All Other Plans | Aetna Commercial - All Other Plan | $430 |
| Humana Choicecare - All Plans | Humana Choicecare - All Plans | $430 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $487 |
| Blue Cross Mcare Select | Blue Cross Mcare Select | $573 |
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