IV push, single drug at Mercy Hospital Lebanon. CPT 96374.
What Mercy Hospital Lebanon publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$192cash price (self-pay)
$296list price
$24.42–$376range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica [20239] | Hb Sprg Lebn Medica Exchange | $117 |
| Medica Contracted [320239] | Hb Sprg Lebn Medica Exchange | $117 |
| Administrative Payor Contracted [320005] | Hb Lebn Mennonite | $133 |
| Administrative Payor Contracted [320005] | Hb Lebn Amish ( Mt Vernon M | $133 |
| Blue Cross And Blue Shield [20053] | Hb Lebn Anthem Pathways Exchange | $201 |
| Blue Cross And Blue Shield [20053] | Hb Lebn Anthem Blue Preferred | $216 |
| Cigna Healthcare Contracted [320071] | Hb Lebn Cigna | $219 |
| Cigna Healthcare [20071] | Hb Lebn Cigna | $219 |
| Aetna Contracted [320008] | Hb Lebn Aetna Commercial | $222 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec (Show-Me Consort | $222 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Town & Country S | $222 |
| Blue Cross And Blue Shield [20053] | Hb Lebn Anthem Traditional | $227 |
| Workers Comp [20426] | Hb Sprg Jopl Mercy Employee Work Comp Mo | $237 |
| Workers Comp [20426] | Hb Sprg Lebn Aura Casv Mtnv Oha Workers Comp Ne | $237 |
| First Health Contracted [320128] | Hb Lebn Coventry Health Care | $237 |
| Evolutions Health Care Contracted [320124] | Hb Lebn Evolutions | $237 |
| Benefit Management Contracted [320052] | Hb Lebn Dec Ozark Community H | $237 |
| Point C [20238] | Hb Lebn Dec Springfield Mfg (Src) | $237 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Qt | $237 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Quality Collisio | $237 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Easter Seals | $237 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec City Of Jackson | $237 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Sapaugh Motors N | $237 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Bartel Communica | $237 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Tall Tree New 4. | $237 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Clayco | $237 |
| Point C Contracted [320238] | Hb Lebn Scurlock Industries | $237 |
| Point C Contracted [320238] | Hb Lebn Trailner | $237 |
| Point C Contracted [320238] | Hb Lebn City Of Springfield | $237 |
| Point C Contracted [320238] | Hb Lebn Dec Springfield Mfg (Src) | $237 |
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