IV push, single drug at Mercy Hospital Boonville. CPT 96374.
What Mercy Hospital Boonville publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$121cash price (self-pay)
$186list price
$54.74–$269range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Jordan Valley Senior Care Pace [20515] | Hb Bnvar Managed Medicare | $54.74 |
| Pace Of The Ozarks [20518] | Hb Bnvar Managed Medicare | $54.74 |
| Spina Bifida Hlthcare Benefit [20506] | Hb Bnvar Managed Medicare | $54.74 |
| Medical Associates Health [20444] | Hb Bnvar Managed Medicare | $54.74 |
| Wellfirst Health Mcr [20443] | Hb Bnvar Managed Medicare | $54.74 |
| Valir Pace [20503] | Hb Bnvar Managed Medicare | $54.74 |
| BCBS Medicare Advantage Contracted [320047] | Hb Bnvar Managed Medicar | $54.74 |
| Aetna Medicare Advantage Contracted [320010] | Hb Bnvar Managed Medica | $54.74 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Bnvar Managed Med | $54.74 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Bnvar Managed Medicar | $54.74 |
| Essence Healthcare Medicare Contracted [320122] | Hb Bnvar Managed Med | $54.74 |
| Globalhealth Contracted [320145] | Hb Bnvar Managed Medicare | $54.74 |
| Unicare Medicare [20384] | Hb Bnvar Managed Medicare | $54.74 |
| American Health Advantage Of Mo Mcr [20264] | Hb Bnvar Managed Medicar | $54.74 |
| Mercy Hospice Okc [20252] | Hb Bnvar Managed Medicare | $54.74 |
| Mental Health Network Medicare [20250] | Hb Bnvar Managed Medicare | $54.74 |
| Windsor Medicare [20424] | Hb Bnvar Managed Medicare | $54.74 |
| University Pittsburgh Med Ctr Medicare [20407] | Hb Bnvar Managed Medi | $54.74 |
| Elara Caring Aspire Hospice [20433] | Hb Bnvar Managed Medicare | $54.74 |
| Tricare [20380] | Hb Bnvar Tricare | $54.95 |
| Cigna Medicare Advantage Contracted [320072] | Hb Bnvar Healthspring 1 | $57.47 |
| MERCY INTERFACILITY [20513] | HB BNVAR Inter-Facility CCR New 6.1.25 | $90.77 |
| Aetna Contracted [320008] | Hb Wldar,Ozkar,Prsar,Bnvr Conventry/Aetna | $121 |
| Workers Comp [20426] | Hb Wldar,Ozkar,Prsar,Bnvar Work Comp Aetna/Cove | $121 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar,B | $158 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar D | $158 |
| Ebms [20493] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Crader | $158 |
| Personify Health Contracted [320051] | Hb Bnvar Network Affiliation | $158 |
| Cigna Healthcare Contracted [320071] | Hb Bnvar Cigna | $158 |
| Federal Medical Center Contracted [320127] | Hb Bnvar Network Affiliat | $158 |
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