IV push, single drug at Trinity Health Shelby Hospital. CPT 96374.
What Trinity Health Shelby Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$185cash price (self-pay)
$284list price
$49.70–$318range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| U Of M Health Plan | Univ Of Mi Hlth Plan Mi Care Network PPO | $68.32 |
| Molina Marketplace | Molina HMO Marketplace | $118 |
| Hap Medicaid | Hap Caresource Medicaid | $160 |
| Mclaren Health Medicaid | Mclaren Medicaid | $160 |
| Blue Cross Complete - Mi | Blue Cross Complete Medicaid | $160 |
| Molina Medicaid | Molina Medicaid | $163 |
| Hap | Hap Hpi | $213 |
| Wc Amerisure | Cofinity Workers Comp | $224 |
| Wc Fcci | Cofinity Workers Comp | $224 |
| Wc Sentry | Cofinity Workers Comp | $224 |
| Wc Zurich | Cofinity Workers Comp | $224 |
| Wc Berkley Admin | Cofinity Workers Comp | $224 |
| Blue Cross - Nv (Anthem) | BCBS Trad / Trust | $243 |
| Blue Cross - Nm | BCBS Trad / Trust | $243 |
| Blue Cross - Nj (Horizon) | BCBS Trad / Trust | $243 |
| Blue Cross - Nh (Anthem) | BCBS Trad / Trust | $243 |
| Blue Cross - Mt | BCBS Trad / Trust | $243 |
| Blue Cross - Ms | BCBS Trad / Trust | $243 |
| Ghc Scw | Multiplan | $244 |
| Medi Share | Multiplan | $244 |
| Multiplan | Multiplan | $244 |
| International Benefit Administrators | Multiplan | $244 |
| Fallon Health | Multiplan | $244 |
| Asrm - Reliance Standard Life Insurance | Multiplan | $244 |
| Trinity Health Share | Multiplan | $244 |
| Hap | Hap HMO | $253 |
| Prairie States | Cofinity PPO | $254 |
| Professional Benefit Administrators | Cofinity PPO | $254 |
| Wps | Cofinity PPO | $254 |
| Consociate | Cofinity PPO | $254 |
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