IV push, single drug at Monroe Surgical Hospital. CPT 96374.
What Monroe Surgical Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$355cash price (self-pay)
$473list price
$60.76–$426range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthy_blue | Medicaid | $60.76 |
| Medicaid | Medicaid | $60.76 |
| Medicaid_amerihealth | Medicaid | $60.76 |
| Verity | Commercial | $126 |
| UHC | Commercial | $128 |
| Aetna | Medicare Advantage | $193 |
| Blue_cross_blue_shield | Medicare Advantage | $193 |
| Ford_bacon_and_davis | Medicare | $193 |
| Humana | Medicare Advantage | $193 |
| Medicare | Medicare | $193 |
| UHC | Medicare Advantage | $193 |
| Vaccn_optum | Medicare | $193 |
| Vantage | Medicare Advantage | $193 |
| Aetna | Commercial | $232 |
| Insurance_systems_smso_employee | Smso Employee | $241 |
| Blue_cross_blue_shield | Commercial | $266 |
| Insurance_systems | Medicare | $270 |
| Aetna | Work Comp | $331 |
| First_health | Commercial | $331 |
| Humana | Commercial | $337 |
| Vantage | Medicare | $337 |
| Cigna | Commercial | $355 |
| Ima | Commercial | $379 |
| Beech_st | Commercial | $402 |
| Gilsbar | Medicare | $414 |
| Workers_comp | Commercial | $426 |
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