IV push, single drug at Franklin Memorial Hospital. CPT 96374.
What Franklin Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$413cash price (self-pay)
$413list price
$35.14–$915range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $35.14 |
| Aetna | MHACO Commercial | $74.42 |
| Aetna | Medicare Advantage | $79.44 |
| Anthem | Medicare Advantage | $82.08 |
| United Healthcare | Medicare Advantage | $82.08 |
| Wellcare | Medicare Advantage | $83.94 |
| Harvard Pilgrim Healthcare | Commercial | $129 |
| Harvard Pilgrim Healthcare | Maine's Choice | $129 |
| Aetna | HMO/PPO | $178 |
| Community Health Options | Commercial | $215 |
| United Healthcare | Commercial | $218 |
| Multiplan | Commercial | $226 |
| Cigna | Commercial | $345 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $502 |
Inpatient
$413cash price (self-pay)
$413list price
$313–$388range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare | Maine's Choice | $313 |
| Aetna | HMO/PPO | $315 |
| Cigna | Commercial | $345 |
| Harvard Pilgrim Healthcare | Commercial | $347 |
| Community Health Options | Commercial | $360 |
| United Healthcare | Commercial | $368 |
| Multiplan | Commercial | $388 |
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