IV push, single drug at Henry Ford Warren Hospital. CPT 96374.
What Henry Ford Warren Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$114cash price (self-pay)
$204list price
$48.60–$392range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Meridian Health Plan | 1945_medicaid Replacement Meridian Health Outpa | $48.60 |
| Ahlic | 2163_ahlic 20241001 | $62.33 |
| Hap HMO | 2166_health Alliance HMO 20241001 | $62.33 |
| Hap HMO | 2174_sjma Health Alliance HMO 20241001 | $62.33 |
| Hap Preferred | 2171_hap Preferred (Php) 20241001 | $62.33 |
| Hap Preferred | 2172_sjma Hap Preferred (Php) 20241001 | $62.33 |
| Ppom | 934_ppom 20191001 | $87.59 |
| Blue Cross Metro Detroit EPO (Sjmoh) | 2063_sjma Blue Cross Blue Shiel | $110 |
| Bcn Local Network Southeast | 2061_sjma Blue Cross Blue Shield Bcn Loc | $124 |
| Blue Cross Metro Detroit HMO (Sjmoh) | 2062_sjma Blue Cross Blue Shiel | $124 |
| Blue Cross PPO | 2065_sjma Blue Cross Blue Shield PPO 20220401 | $134 |
| Tricare | 2211_tricare Op 20250101 | $206 |
| Meridian Wellcare | 2210_medicare Advantage Meridian Wellcare Outpatie | $217 |
Inpatient
—cash price (self-pay)
—list price
$196–$392range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Pace | 2278_sjmc Sjma Pace Medicare Inpatient 20251001 | $196 |
| Amerihealth Vip Care | 2273_medicare Advantage Amerihealth Vip Care In | $204 |
| Aetna Better Health | 2272_medicare Advantage Aetna Better Health Inpa | $206 |
| Harbor Advantage HMO | 2274_medicare Advantage Harbor Advantage HMO In | $206 |
| Medicare Replacement | 2279_medicare Advantage Blue Cross Network Conn | $206 |
| Tricare | 480_tricare Ip 20170101 | $206 |
| Veterans Choice | 2283_veterans Choice Ip 20251001 | $206 |
| Humana Mcr | 2275_medicare Advantage Humana Inpatient 20251001 | $208 |
| Total Health Care | 1957_sjma Medicaid Replacement Total Health Care I | $208 |
| Mclaren Medicare Advantage HMO | 2276_medicare Advantage Mclaren Inpat | $217 |
| Meridian Wellcare | 2280_medicare Advantage Meridian Wellcare Inpatien | $217 |
| Molina Advantage | 2281_medicare Advantage Molina Inpatient 20251001 | $217 |
| Molina Health Link | 2282_medicare Advantage Molina Health Link Inpati | $217 |
| Meridian Ambetter | 2286_medicare Advantage Meridian Ambetter Inpatien | $258 |
| Molina Market Place | 2287_molina Marketplace Inpatient 20251001 | $258 |
| Smarthealth | 2284_smarthealth Inpatient 20251001 | $289 |
| Aaa-Auto Insurance | 2285_aaa-Auto Insurance Inpatient 20251001 | $392 |
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