IV push, single drug at Northern Light Sebasticook Valley Hospital. CPT 96374.
What Northern Light Sebasticook Valley Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$326cash price (self-pay)
$958list price
$31.35–$1,141range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MCR Advantage | $364 |
| Anthem | MCR Advantage | $364 |
| Martin's Point | MCR Advantage | $364 |
| UHC | MCR Advantage | $364 |
| Wellcare | MCR Advantage | $364 |
| Anthem | Commercial | $623 |
| Anthem | Enhanced Pathways | $623 |
| Aetna | Commercial | $647 |
| Harvard | Commercial | $674 |
| Cigna | Commercial | $715 |
| UHC | Commercial | $723 |
| CHO | Commercial | $958 |
Inpatient
$326cash price (self-pay)
$958list price
$623–$958range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial | $623 |
| Anthem | Enhanced Pathways | $623 |
| UHC | Commercial | $695 |
| Cigna | Commercial | $715 |
| Aetna | Commercial | $719 |
| CHO | Commercial | $958 |
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All common services at Northern Light Sebasticook Valley Hospital