IV push, single drug at Stephens Memorial Hospital. CPT 96374.
What Stephens Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$34.10cash price (self-pay)
$300list price
$17.05–$969range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $35.14 |
| Aetna | MHACO Commercial | $74.42 |
| Aetna | Medicare Advantage | $131 |
| United Healthcare | Medicare Advantage | $131 |
| Humana | Medicare Advantage | $131 |
| Anthem | Medicare Advantage | $131 |
| Wellcare | Medicare Advantage | $136 |
| Cigna | Commercial | $272 |
| Harvard Pilgrim Healthcare | Maine's Choice | $282 |
| Aetna | HMO/PPO | $283 |
| Multiplan | Commercial | $298 |
| Community Health Options | Commercial | $304 |
| United Healthcare | Commercial | $305 |
| Harvard Pilgrim Healthcare | Commercial | $310 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $546 |
Inpatient
$566cash price (self-pay)
$566list price
$494–$549range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare | Maine's Choice | $494 |
| Aetna | HMO/PPO | $517 |
| Cigna | Commercial | $527 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $528 |
| Multiplan | Commercial | $532 |
| Community Health Options | Commercial | $537 |
| United Healthcare | Commercial | $543 |
| Harvard Pilgrim Healthcare | Commercial | $549 |
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