IV push, single drug at Mercy Hospital St Louis. CPT 96374.
What Mercy Hospital St Louis publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
$167cash price (self-pay)
$480list price
$16.71–$480range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicaid Contracted [320009] | Hb Stlo Cape Aetna Better Health | $23.95 |
| Molina Healthcare Medicaid [20265] | Hb Stlo Cape Molina Healthchoice | $23.95 |
| Medicaid [20240] | Hb Stlo Cape IL Medicaid | $55.27 |
| Medica Contracted [320239] | Hb Stlo Medica Exchange | $96.18 |
| Home State Health Plan Contracted [320187] | Hb Stlo Wash Jefn Centene | $99.50 |
| Ambetter [20452] | Hb Stlo Wash Jefn Centene Exchange/Ambetter Eff 090 | $99.50 |
| Aetna Contracted [320008] | Hb Stlo Aetna Commercial New 070123 | $129 |
| Healthlink Contracted [320179] | Hb Stlo Samc Dec Sapaugh Motors New 0 | $158 |
| Healthlink Contracted [320179] | Hb Stlo Dec Emcap Ebso | $158 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Quick Trip | $158 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Clayco Dec | $158 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Schaefer Autobo | $158 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Show Me Ben | $158 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Eba - Emplo | $158 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Town And Co | $158 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Easter Seals De | $158 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc City Of Jackson | $158 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Bartel Communic | $158 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Sapaugh Mot | $158 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Tall Tree Dec N | $158 |
| Aither Health [20449] | Hb Stlo Samc Shine Solar Dec New 110320 | $158 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Clayco Dec | $158 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Schaefer Autobody Dec New 0 | $158 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Dec Eba - Employer Benefit | $158 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Dec Show Me Benefit Consort | $158 |
| Cigna Healthcare Contracted [320071] | Hb Stlo Wash Jefn Samc Cigna Be | $166 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Hermann Area Di | $166 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Hermann Area District Hospi | $166 |
| Blue Cross And Blue Shield [20053] | Hb Stlo Wash Jefn Linc Samc Cape | $175 |
| Healthlink Contracted [320179] | Hb Stlo Healthlink HMO | $203 |
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