IV push, single drug at Pen Bay Medical Center. CPT 96374.
What Pen Bay Medical Center publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$130cash price (self-pay)
$175list price
$34.41–$990range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $35.14 |
| Aetna | MHACO Commercial | $74.42 |
| Community Health Options | Commercial | $103 |
| Harvard Pilgrim Healthcare | Maines Choice | $105 |
| Cigna | Commercial | $106 |
| Harvard Pilgrim Healthcare | Commercial | $110 |
| Aetna | HMO/PPO | $114 |
| United Healthcare | Commercial | $121 |
| Multiplan | Commercial | $122 |
| Humana | Medicare Advantage | $204 |
| United Healthcare | Medicare Advantage | $204 |
| Anthem | Medicare Advantage | $206 |
| Aetna | Medicare Advantage | $208 |
| Wellcare | Medicare Advantage | $210 |
| Anthem | HMO/POS/PPO/Pathway Enhanced | $990 |
Inpatient
$130cash price (self-pay)
$130list price
$102–$255range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $102 |
| Community Health Options | Commercial | $103 |
| Harvard Pilgrim Healthcare | Maines Choice | $105 |
| Harvard Pilgrim Healthcare | Commercial | $110 |
| Aetna | HMO/PPO | $114 |
| United Healthcare | Commercial | $121 |
| Multiplan | Commercial | $122 |
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