IV push, single drug at Lowell General Hospital. CPT 96374.
What Lowell General Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$140cash price (self-pay)
$200list price
$70.00–$794range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coresource [100285] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $70.00 |
| American Postal Workers [100089] | Hb Xr Non-Contracted 35% Of Billed | $70.00 |
| Assurant [100020] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $70.00 |
| Avmed Health Plan [100247] | Hb Xr Non-Contracted 35% Of Billed Charge | $70.00 |
| Allied National Global Care [100107] | Hb Xr Non-Contracted 35% Of Bil | $70.00 |
| Amerihealth Caritas Nh [350007] | Hb Xr Non-Contracted 35% Of Billed C | $70.00 |
| Allied Benefit Systems [100015] | Hb Xr Non-Contracted 35% Of Billed C | $70.00 |
| Carecentrix Alternate [100257] | Hb Xr Non-Contracted 35% Of Billed Ch | $70.00 |
| Compsych [100027] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $70.00 |
| Generic Commercial [109999] | Hb Xr Non-Contracted 35% Of Billed Charg | $70.00 |
| Care One [950007] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $70.00 |
| Eyemed [100290] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $70.00 |
| Coverage Discovery [100306] | Hb Xr Non-Contracted 35% Of Billed Charg | $70.00 |
| National Elevator Ind Hlth Benefits [100273] | Hb Xr Non-Contracted 35 | $70.00 |
| First Health [100278] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $70.00 |
| D'Youville Senior Care [950003] | Hb Xr Non-Contracted 35% Of Billed C | $70.00 |
| Geha [100039] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $70.00 |
| Allaracare [100163] | Hb Xr Allaracare Lgh | $92.00 |
| Cigna [100009] | Hb Xr Cigna Lgh | $100 |
| Tufts Health Public Plan Connectorcare [100264] | Hb Xr Thpp Connector | $112 |
| Coventry [100010] | Hb Xr Coventry Lgh | $158 |
| Cypress Benefit Administrators [100122] | Hb Xr Claritev Lgh | $167 |
| Claritev/Multiplan [100275] | Hb Xr Claritev Lgh | $167 |
| Health New England [100268] | Hb Xr Claritev Lgh | $167 |
| Aetna [100001] | Hb Xr Aetna HMO PPO Lgh | $184 |
| Medicare [400001] | Xr Hb Medicare Lgh | $200 |
| Aetna Medicare Replacement [450001] | Hb Xr Aetna Medicare Lgh | $200 |
| Blue Cross Medicare Replacement [450110] | Hb Xr Bcbsma Medicare Advan | $200 |
| Commonwealth Care Alliance [450067] | Hb Xr Cca One Care Sco Lgh | $200 |
| Fallon Health Connectorcare [100260] | Hb Xr Fallon Community Care Lgh | $200 |
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