IV push, single drug at Holyoke Medical Center. CPT 96374.
What Holyoke Medical Center publishes for this service, straight from its standard-charges file, last updated May 1, 2026.
Outpatient / ER
$257cash price (self-pay)
$257list price
$65.72–$363range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Gic Unicare | Gic Unicare | $65.72 |
| Bmchp | Bmchp Masshealth Aco | $72.39 |
| Fallon | Fallon Masshealth Aco | $72.39 |
| Health New England | Health New England Be Healthy | $72.39 |
| Medicaid | Medicaid | $72.39 |
| Wellsense Direct Metals Silver | Wellsense Direct Metals Silver | $90.49 |
| Tufts Health Public Plans | Tufts Health Public Plans Connector | $101 |
| Tufts Health Public Plans | Tufts Health Public Plans Masshealth Aco | $101 |
| Mass General Brigham Commercial | Mass General Brigham Commercial | $141 |
| Aetna | Aetna Commercial | $180 |
| United Healthcare | Uhc Commercial | $186 |
| Fallon | Fallon Commercial | $190 |
| Health New England | Health New England Commercial | $214 |
| Aetna | Aetna Medicare Advantage | $251 |
| Blue Cross Blue Shield | Blue Cross Blue Shield Medicare Advantage | $251 |
| Health New England | Health New England Medicare Advantage | $251 |
| Medicare | Medicare | $251 |
| United Healthcare | Uhc Medicare Advantage | $251 |
| Tufts Health Plan | Tufts Health Plan Usfhp | $255 |
| Commonwealth Care Alliance | Commonwealth Care Alliance Medicare Advan | $263 |
| Commonwealth Care Alliance | Commonwealth Care Alliance One Care | $263 |
| Commonwealth Care Alliance | Commonwealth Care Alliance Sco | $263 |
| United Healthcare | Uhc Evercare (Sco) | $263 |
| Wellsense Sco | Wellsense Sco | $266 |
| Fallon | Fallon Sco (Navicare) | $268 |
| Fallon | Fallon Medicare Advantage | $276 |
| United Healthcare | Uhc Harvard Pilgrim | $285 |
| Harvard Pilgrim | Harvard Pilgrim Commercial | $288 |
| Senior Whole Health | Senior Whole Health | $288 |
| Tufts Health Public Plans | Tufts Health Public Plans Direct Metals | $301 |
Inpatient
$257cash price (self-pay)
$257list price
$180–$190range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Behavioral Health | Evernorth Bh | $180 |
| Magellan | Magellan Mass | $180 |
| Magellan | Magellan Swh | $180 |
| Mass General Brigham Commercial | Mass General Brigham Commercial | $182 |
| Cigna | Cigna Commercial | $189 |
| Fallon | Fallon Commercial | $190 |
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