IV push, single drug at Fairview Hospital. CPT 96374.
What Fairview Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$204cash price (self-pay)
$218list price
$29.18–$210range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Other Government | Tri Tricare | $58.21 |
| Medicare | MCR Traditional Medicare | $60.59 |
| Medicare | MCRManaged Medicare HMO | $60.59 |
| Fallon | MCRManaged Fallon Medicare Advantage | $61.56 |
| Hospice | Comm Hospice | $61.58 |
| Other Government | MCR Miscellaneous | $61.58 |
| Other Government | MCRManaged USA Family | $61.58 |
| Other Government | MCRManaged VA | $61.58 |
| United Healthcare | Oth United VACCN | $61.58 |
| Fallon | MCRManaged Fallon Medicare SCO | $61.94 |
| Health New England | MCRManaged HNE Medicare Advantage | $62.23 |
| Blue Cross | MCRManaged Blue Cross VT Medicare HMO | $63.49 |
| CommCare Alliance | MCRManaged CCA One Care | $64.29 |
| Point32Health | Comm Tufts QHPSUB (Network) | $76.75 |
| Point32Health | MCDManaged Tufts (Network) | $76.75 |
| Medicaid | MCD MassHealth | $80.70 |
| Other Medicaid | MCD Out of State | $80.70 |
| Fallon | MCDManaged Fallon Medicaid ACO | $90.42 |
| Comm Fallon QHP | Comm Fallon QHP | $92.93 |
| Comm HNE HMO | Comm HNE HMO | $110 |
| Aetna | Comm Aetna | $110 |
| Health New England | Comm HNE | $116 |
| Comm HNE PPO | Comm HNE PPO | $116 |
| Unicare | Comm Wellpoint (Unicare) | $133 |
| Workers Comp | WC Workers Comp | $139 |
| Allways NHP | Comm NHP | $141 |
| United Healthcare | Comm United BH | $142 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $148 |
| Blue Cross | Comm Blue Cross VT PPO | $171 |
| Point32Health | Comm Tufts | $173 |
Inpatient
$204cash price (self-pay)
$218list price
$121–$210range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point32Health | Comm Tufts QHPSUB (Network) | $123 |
| Point32Health | MCDManaged Tufts (Network) | $123 |
| Workers Comp | WC Workers Comp | $139 |
| Allways NHP | Comm NHP | $141 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $141 |
| United Healthcare | Comm United BH | $142 |
| Blue Cross | Comm Blue Cross VT PPO | $157 |
| Aetna | Comm Aetna | $165 |
| Point32Health | Comm Tufts | $173 |
| United Healthcare | Comm UnitedHealthcare | $188 |
| Capital District Physicians' Health Plan | Comm CDPHP | $196 |
| MVP | Comm MVP | $196 |
| Oxford | Comm Oxford | $196 |
| Connecticare | Comm Connecticare | $207 |
| Consolidated Health Plans | Comm Consolidated Health | $207 |
| First Health | Comm First Health | $207 |
| Point32Health | Comm Harvard | $207 |
| Other Commercial | Comm Other | $207 |
| PHCS | Comm PHCS | $207 |
| Self Pay | Comm Self Pay | $207 |
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