IV push, single drug at Mercy Hospital Perry. CPT 96374.
What Mercy Hospital Perry publishes for this service, straight from its standard-charges file, last updated March 12, 2026.
Outpatient / ER
$124cash price (self-pay)
$191list price
$28.65–$277range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Hb Wash Jefn Linc Samc Pcmh Stod IL Medicaid | $28.65 |
| Humana Medicare Advantage [20194] | Hb Pcmh Medicare/Managed Mcr W/Seq | $58.08 |
| Cross Timbers Hospice [20098] | Hb Pcmh Medicare/Managed Mcr W/Seq 98. | $58.08 |
| Blue Cross And Blue Shield [20053] | Hb Pcmh Medicare/Managed Mcr W/Se | $58.08 |
| BCBS Medicare Advantage [20047] | Hb Pcmh Medicare/Managed Mcr W/Seq 9 | $58.08 |
| Kindful Hospice [20434] | Hb Pcmh Medicare/Managed Mcr W/Seq 98.1% | $58.08 |
| Medicare [20244] | Hb Pcmh Medicare/Managed Mcr W/Seq 98.1% | $58.08 |
| Mercy Hospice Okc [20252] | Hb Pcmh Medicare/Managed Mcr W/Seq 98.1% | $58.08 |
| Elara Caring Aspire Hospice [20433] | Hb Pcmh Medicare/Managed Mcr W/S | $58.08 |
| Halo Hcr Inc Hospice [20432] | Hb Pcmh Medicare/Managed Mcr W/Seq 98.1 | $58.08 |
| Home State Health Plan Medicare Contracted [320188] | Hb Pcmh Medicare | $58.08 |
| Humana Medicare Advantage Contracted [320194] | Hb Pcmh Medicare/Manag | $58.08 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Pcmh Medicare/ | $58.08 |
| Indian Health Service Contracted [320198] | Hb Pcmh Medicare/Managed M | $58.08 |
| Medica Contracted [320239] | Hb Linc Pcmh Medica Exchange New 010122 | $80.22 |
| Ambetter [20452] | Hb Pcmh Ambetter Exchange | $90.53 |
| Home State Health Plan Contracted [320187] | Hb Pcmh Ambetter Exchange | $90.53 |
| Blue Cross And Blue Shield [20053] | Hb Stlo Wash Jefn Linc Samc Cape | $90.73 |
| Blue Cross And Blue Shield [20053] | Hb Pcmh Anthem Blue Preferred | $118 |
| Blue Cross And Blue Shield [20053] | Hb Pcmh Anthem Pathway/Exchange | $118 |
| First Health [20128] | Hb Pcmh Linc Aetna Coventry All Products | $125 |
| Aetna [20008] | Hb Pcmh Linc Aetna Coventry All Products | $125 |
| Aetna Contracted [320008] | Hb Pcmh Linc Aetna Coventry All Products | $125 |
| Blue Cross And Blue Shield [20053] | Hb Pcmh Anthem Blue Access | $134 |
| Mc Generic Anthem [20456] | Hb Pcmh Anthem Blue Access | $134 |
| Mc Anthem [20455] | Hb Pcmh Anthem Blue Access | $134 |
| Blue Cross And Blue Shield [20053] | Hb Pcmh Anthem Traditional | $147 |
| Aither Health [20449] | Hb Linc Pcmh Shine Solar Dec New 110320 | $162 |
| Mercy Benefit Admin [20251] | Hb Linc Pcmh Schaefer Autobody Dec New 0 | $162 |
| Mercy Benefit Admin [20251] | Hb Linc Pcmh Dec Show Me Consortium New | $162 |
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