IV push, single drug at Trinity Health Grand Rapids. CPT 96374.
What Trinity Health Grand Rapids publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$185cash price (self-pay)
$284list price
$68.32–$329range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| U Of M Health Plan | Univ Of Mi Hlth Plan Mi Care Network PPO | $68.32 |
| Molina Medicaid | Molina Medicaid | $121 |
| Blue Cross - Md (Carefirst) | BCBS Trad / Trust | $122 |
| Blue Cross - Tn | BCBS Trad / Trust | $122 |
| Blue Cross - Sc | BCBS Trad / Trust | $122 |
| Blue Cross - Ri | BCBS Trad / Trust | $122 |
| Blue Shield - Pa (Highmark) | BCBS Trad / Trust | $122 |
| Blue Cross - Pa (Capital) | BCBS Trad / Trust | $122 |
| Blue Cross - Pa (Independence) | BCBS Trad / Trust | $122 |
| Blue Cross - Or (Regence) | BCBS Trad / Trust | $122 |
| Blue Cross - Ok | BCBS Trad / Trust | $122 |
| Blue Cross - Nc | BCBS Trad / Trust | $122 |
| Blue Cross - Federal | BCBS Trad / Trust | $122 |
| Blue Cross - Hi | BCBS Trad / Trust | $122 |
| Blue Cross - Me (Anthem) | BCBS Trad / Trust | $122 |
| Blue Cross - Nj (Horizon) | BCBS Trad / Trust | $122 |
| Blue Cross - Nh (Anthem) | BCBS Trad / Trust | $122 |
| Blue Cross - Nv (Anthem) | BCBS Trad / Trust | $122 |
| Blue Shield - NY Highmark Northeastern | BCBS Trad / Trust | $122 |
| Blue Shield - NY Highmark Western | BCBS Trad / Trust | $122 |
| Blue Cross - Wy | BCBS Trad / Trust | $122 |
| Blue Cross - Ga (Anthem) | BCBS Trad / Trust | $122 |
| Blue Cross - Wv (Highmark) | BCBS Trad / Trust | $122 |
| Blue Cross - FL | BCBS Trad / Trust | $122 |
| Blue Shield - Wa (Regence) | BCBS Trad / Trust | $122 |
| Blue Cross - Dc (Carefirst) | BCBS Trad / Trust | $122 |
| Blue Cross - La | BCBS Trad / Trust | $122 |
| Blue Cross - Ky (Anthem) | BCBS Trad / Trust | $122 |
| Blue Cross - Mt | BCBS Trad / Trust | $122 |
| Blue Cross - Ms | BCBS Trad / Trust | $122 |
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