IV push, single drug at Mercy Hospital South. CPT 96374.
What Mercy Hospital South publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$147cash price (self-pay)
$226list price
$14.69–$479range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare Medicaid [20265] | Hb Wash Jefn Linc Samc Molina Hea | $14.69 |
| Aetna Medicaid [20009] | Hb Wash Jefn Linc Samc Aetna Better Health Of | $33.90 |
| Medicaid [20240] | Hb Wash Jefn Linc Samc Pcmh Stod IL Medicaid | $33.90 |
| Aetna Medicaid Contracted [320009] | Hb Wash Jefn Linc Samc Aetna Bett | $33.90 |
| Medica Contracted [320239] | Hb Samc Medica Exchange New 010122 | $58.99 |
| Ambetter [20452] | Hb Samc Centene/Ambetter Exchange | $61.02 |
| Home State Health Plan Contracted [320187] | Hb Samc Centene/Ambetter | $61.02 |
| Aetna Contracted [320008] | Hb Samc Aetna Commercial New 070123 | $79.10 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Dec Show Me Benefit Consort | $97.18 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Schaefer Autobody Dec New 0 | $97.18 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Clayco Dec | $97.18 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Dec Eba - Employer Benefit | $97.18 |
| Aither Health [20449] | Hb Stlo Samc Shine Solar Dec New 110320 | $97.18 |
| Healthlink Contracted [320179] | Hb Stlo Samc Dec Sapaugh Motors New 0 | $97.18 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Bartel Communic | $97.18 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Sapaugh Mot | $97.18 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Tall Tree Dec N | $97.18 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Eba - Emplo | $97.18 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Town And Co | $97.18 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Easter Seals De | $97.18 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc City Of Jackson | $97.18 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Quick Trip | $97.18 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Hermann Area District Hospi | $102 |
| Cigna Healthcare Contracted [320071] | Hb Stlo Wash Jefn Samc Cigna Be | $102 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Hermann Area Di | $102 |
| Blue Cross And Blue Shield [20053] | Hb Stlo Wash Jefn Linc Samc Cape | $107 |
| Healthlink Contracted [320179] | Hb Samc Healthlink HMO | $124 |
| Health Choices [20448] | Hb Stlo Wash Jefn Linc Samc Health Choice New | $136 |
| Federal Medical Center Contracted [320127] | Hb Stlo Wash Jefn Samc Ne | $147 |
| Point C Contracted [320238] | Hb Stlo Wash Jefn Samc Network Affiliati | $147 |
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