IV push, single drug at Tj Health Samson Community Hospital. CPT 96374.
What Tj Health Samson Community Hospital publishes for this service, straight from its standard-charges file, last updated April 23, 2026.
Outpatient / ER
$226cash price (self-pay)
$348list price
$44.51–$331range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health Mcaid - All Plans | Aetna Better Health Mcaid - Al | $44.51 |
| Humana Mcaid | Humana Mcaid | $44.51 |
| Molina Mcaid | Molina Mcaid | $45.85 |
| Wellcare Mcaid | Wellcare Mcaid | $212 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $216 |
| Humana Mcr Adv - All Other Plans | Humana Mcr Adv - All Other Plans | $216 |
| Wellcare Mcr Adv - All Other Plans | Wellcare Mcr Adv - All Other Plan | $216 |
| Signature Health - All Plans | Signature Health - All Plans | $218 |
| Molina Mcr Adv | Molina Mcr Adv | $221 |
| Devoted Mcr Adv - All Plans | Devoted Mcr Adv - All Plans | $227 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $270 |
| Blue Cross Mcr Select | Blue Cross Mcr Select | $296 |
| Center Care Select - All Plans | Center Care Select - All Plans | $296 |
| Caresource - All Plans | Caresource - All Plans | $324 |
| Molina Marketplace - All Other Plans | Molina Marketplace - All Other | $324 |
| Phcs/Multiplan - All Plans | Phcs/Multiplan - All Plans | $327 |
| First Health - All Plans | First Health - All Plans | $331 |
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