IV push, single drug at UMass Memorial Health-Harrington Hospital. CPT 96374.
What UMass Memorial Health-Harrington Hospital publishes for this service, straight from its standard-charges file, last updated April 3, 2026.
Outpatient / ER
$538cash price (self-pay)
$550list price
$29.38–$5,775range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WELLPOINT [11112] | All WELLPOINT (UNICARE) HR [60] Plans | $85.30 |
| CHAMPVA [11001] | All TRICARE / CHAMPVA HR [165] Plans | $250 |
| HARVARD PILGRIM [10701] | All HARVARD PILGRIM HMO HR [117] Plans | $252 |
| MGB MCR [10124] | All MGB MCR HR [315] Plans | $256 |
| CIGNA MCR [10121] | All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Pla | $258 |
| INSTITUTION [10406] | All HOSPICE HR [311] Plans | $258 |
| TUFTS US FAMILY [11203] | All TUFTS US FAMILY HR [310] Plans | $258 |
| BCBS MCR [10102] | All BC MCR HR [64] Plans | $265 |
| WORKERS COMPENSATION [20501] | All WORKERS COMP HR [31] Plans | $268 |
| COMMONWEALTH CARE ALLIANCE [10103] | All ONE CARE HR [298] Plans | $269 |
| AETNA MCR [10101] | All MEDICARE ADV AT 105% HR [301] Plans | $269 |
| TUFTS MCR [10112] | All TUFTS MCR HR [300] Plans | $269 |
| FALLON MCR SUPP [20202] | All FALLON SENIOR HR [139] Plans | $269 |
| FALLON MCR [10105] | All FALLON SUMMIT ELDER CARE HR [334] Plans | $269 |
| UHC DUAL [10118] | All UHC COMMUNITY CARE SCO (EVERCARE) HR [332] Plan | $271 |
| SENIOR WHOLE HEALTH [10110] | All SENIOR WHOLE HEALTH HR [128] Plans | $276 |
| UHC MCR REPLACE AARP [10114] | All UHC MCR HR [333] Plans | $276 |
| MEDICAID [20301] | All MEDICAID OF MAINE [283] Plans | $286 |
| HARVARD PILGRIM [10701] | All HARVARD PILGRIM PPO HR [118] Plans | $290 |
| HARVARD PILGRIM [10701] | All HARVARD PILGRIM BETH ISRAEL LAHEY HR [29 | $303 |
| BCBS [10301] | All BC HMO HR [47] Plans | $314 |
| BCBS [10301] | All BC PPO HR [48] Plans | $338 |
| FALLON CONNECTORCARE [10503] | All FALLON HMO HR [109] Plans | $341 |
| TUFTS [11201] | All TUFTS HMO HR [168] Plans | $391 |
| CIGNA CARELINK [11202] | All TUFTS PPO/CARELINK HR [169] Plans | $391 |
| FIRST HEALTH NETWORK [11120] | All COVENTRY (FIRST HEALTH) [83] Plans | $413 |
| TUFTS CONNECTORCARE [10507] | All TUFTS CONNECTORCARE/DIRECT QHP HR [1 | $436 |
| EVERNORTH BEHAVIORAL HEALTH [27] | All EVERNORTH (FORMERLY CIGNA) BEHA | $440 |
| AETNA [11101] | All AETNA HR [12] Plans | $442 |
| UHC [11111] | All UHC HR [37] Plans | $467 |
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All common services at UMass Memorial Health-Harrington Hospital