IV push, single drug at Melrose-Wakefield Hospital Campus. CPT 96374.
What Melrose-Wakefield Hospital Campus publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$206cash price (self-pay)
$294list price
$99.18–$650range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allied National Global Care [100107] | Hb Xr Non-Contracted 35% Of Bil | $103 |
| Allied Benefit Systems [100015] | Hb Xr Non-Contracted 35% Of Billed C | $103 |
| Assurant [100020] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $103 |
| Avmed Health Plan [100247] | Hb Xr Non-Contracted 35% Of Billed Charge | $103 |
| American Postal Workers [100089] | Hb Xr Non-Contracted 35% Of Billed | $103 |
| Benemax [100276] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $103 |
| Care One [950007] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $103 |
| Amerihealth Caritas Nh [350007] | Hb Xr Non-Contracted 35% Of Billed C | $103 |
| First Health [100278] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $103 |
| Geha [100039] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $103 |
| Coresource [100285] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $103 |
| Coventry [100010] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $103 |
| Group And Pension Administrators [100043] | Hb Xr Non-Contracted 35% O | $103 |
| Lowell Comm Health Center [950009] | Hb Xr Non-Contracted 35% Of Bille | $103 |
| Carecentrix Alternate [100257] | Hb Xr Non-Contracted 35% Of Billed Ch | $103 |
| Ibew Local 103 [100272] | Hb Xr Non-Contracted 35% Of Billed Charges M | $103 |
| Tufts Health Public Plan Connectorcare [100264] | Hb Xr Thpp Connector | $132 |
| Cigna [100009] | Hb Xr Cigna Mwh | $147 |
| Cigna [100009] | Hb Xr Evernorth | $147 |
| Allaracare [100163] | Hb Xr Allaracare Mwh | $170 |
| Cypress Benefit Administrators [100122] | Hb Xr Claritev Mwf | $259 |
| Claritev/Multiplan [100275] | Hb Xr Claritev Mwf | $259 |
| Health New England [100268] | Hb Xr Claritev Mwf | $259 |
| Blue Cross Of MA [100274] | Hb Xr Bcbsma HMO Mwh | $285 |
| Medicare [400001] | Xr Hb Medicare Mwf | $294 |
| Optum Va Community Care Network [800003] | Xr Hb Medicare Mwf | $294 |
| Blue Cross Medicare Replacement [450110] | Hb Xr Bcbsma Medicare Advan | $294 |
| Mass General Brigham Health Plan [100254] | Hb Xr Mgbhp HMO Qhp Unsubs | $294 |
| Mass General Brigham Health Plan [100254] | Hb Xr Mgbhp PPO Mwh | $294 |
| Medicaid Masshealth [300001] | Hb Xr Masshealth 100% Mwf | $294 |
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