IV push, single drug at Penobscot Valley Hospital. CPT 96374.
What Penobscot Valley Hospital publishes for this service, straight from its standard-charges file, last updated April 24, 2026.
Outpatient / ER
$111cash price (self-pay)
$159list price
$34.31–$205range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B ME JK | Default | $34.31 |
| Medicare A ME JK | Default | $73.28 |
| United Healthcare | Medicare Advantage | $73.28 |
| Humana | Medicare Advantage | $74.02 |
| Wellcare Health Plan Inc MCR Adv | Default | $74.02 |
| Aetna Medicare Advantage | Medicare Advantage | $74.78 |
| VA Community Care Network VACCN Region 1-3 Optum | Default | $74.78 |
| Blue Cross Blue Shield of ME Anthem | Medicare Advantage | $75.48 |
| Blue Cross Blue Shield of ME Anthem | Default | $118 |
| United Healthcare | Default | $127 |
| Cigna | Default | $150 |
| Harvard Pilgrim HealthCare | Default | $152 |
| Aetna | Default | $153 |
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