IV push, single drug at UMass Memorial Medical Center University Campus. CPT 96374.
What UMass Memorial Medical Center University Campus publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
$459cash price (self-pay)
$485list price
$37.14–$840range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WELLPOINT [11112] | All WELLPOINT (UNICARE) UM [51] Plans | $85.30 |
| MEDICAID [20301] | All MEDICAID OF NEW HAMPSHIRE UM [163] Plans | $160 |
| CIGNA HEALTH PLAN [11104] | All CIGNA UM [78] Plans | $226 |
| CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE COUNTY UM [160] Plan | $226 |
| FALLON CONNECTORCARE [10503] | All FALLON HMO UM [99] Plans | $230 |
| UHC [11111] | All UHC UM [126] Plans | $234 |
| UHC [11111] | All UHC SUREST UM [322] Plans | $234 |
| MEDICAID [20301] | All MEDICAID OF MAINE [283] Plans | $252 |
| INSTITUTION [10406] | All HOSPICE UM [288] Plans | $255 |
| INSTITUTION [10406] | All HOSPICE GENERIC [237] Plans | $255 |
| CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE STATE UM [94] Plans | $255 |
| MEDICAID [20301] | All MEDICAID OF CT [28] Plans | $255 |
| MEDICARE [20206] | All MEDICARE/ MEDICARE ADV PLANS/ INST UM [67] Plan | $255 |
| CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE FORT DEVENS UM [161] | $255 |
| TUFTS DUAL [10111] | All TUFTS UNIFY UM [230] Plans | $255 |
| INSTITUTION [10406] | All FAIRLAWN REHAB [281] Plans | $257 |
| BCBS MCR SUPP [20201] | All BC MCR UM [63] Plans | $263 |
| MGB MCR [10124] | All MGB MCR UM [316] Plans | $268 |
| COMMONWEALTH CARE MCR [10115] | All ONE CARE UM [144] Plans | $268 |
| HARVARD PILGRIM MCR SUPP [20203] | All HARVARD PILGRIM MCR UM [140] Pl | $268 |
| CHAMPVA [11001] | All TRICARE / CHAMPVA UM [164] Plans | $268 |
| SENIOR WHOLE HEALTH [10110] | All SENIOR WHOLE HEALTH UM [132] Plans | $273 |
| AETNA [11101] | All AETNA UM [92] Plans | $316 |
| MULTIPLAN [11109] | All MULTIPLAN [81] Plans | $364 |
| FIRST HEALTH NETWORK [11120] | All COVENTRY (FIRST HEALTH) [83] Plans | $364 |
| BCBS [10301] | All BC HMO UM [11] Plans | $397 |
| BCBS [10301] | All BC PPO UM [44] Plans | $443 |
| AUTOMOBILE [10401] | All CATCH ALL @ 100% [217] Plans | $485 |
| BCBS MA PPO OPTUM BH [63] | All OPTUM BEHAVIORAL HEALTH (UBH) UM [246] | $485 |
| CONNECTICARE [11105] | All CATCH ALL @ 100% [217] Plans | $485 |
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All common services at UMass Memorial Medical Center University Campus