IV push, single drug at Mercy Pediatrics - Carthage. CPT 96374.
What Mercy Pediatrics - Carthage publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$90.75cash price (self-pay)
$121list price
$28.88–$121range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA MEDICAID [20009] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans | $28.88 |
| Aetna Medicaid Contracted [320009] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advantag | $28.88 |
| HUMANA MEDICAID [20486] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans | $28.88 |
| Humana Medicaid Contracted [320486] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advanta | $28.88 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl Aetna Medicare-Missou | $33.61 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $33.61 |
| Aetna Medicare Advantage Contracted [320010] | Pb Sprg/Jopl Aetna Med | $33.61 |
| BCBS Medicare Advantage Contracted [320047] | Pb Sprg/Jopl Blue Cross | $33.61 |
| Humana Medicare Advantage Contracted [320194] | Pb Sprg/Jopl/Ks Humana | $33.61 |
| Blue Cross And Blue Shield [20053] | Pb Sprg/Jopl Anthem Traditional O | $33.92 |
| Devoted Health Medicare Contracted [320500] | Pb Sprg-Jopl Devoted Hea | $34.95 |
| Humana Contracted [320193] | Pb Jopl Humana/Ppox | $40.33 |
| BCBS Medicaid [20046] | Pb Sprg/Jopl Missouri Care/Healthy Blue | $45.33 |
| BCBS Medicaid Contracted [320046] | Pb Sprg/Jopl Missouri Care/Healthy | $45.33 |
| Healthlink Contracted [320179] | Pb Sprg/Jopl Healthlink | $46.18 |
| Auxiant Contracted [320462] | Pb Sprg-Jopl Buchheit Dec | $50.75 |
| United Healthcare Contracted [320396] | Pb Sprg/Jopl United Healthcare | $53.64 |
| Medica [20239] | Pb Sprg-Jopl Medica | $54.03 |
| Medica Contracted [320239] | Pb Sprg-Jopl Medica | $54.03 |
| Home State Health Plan Contracted [320187] | Pb Jopl Homestate/Novasys | $54.46 |
| Aetna [20008] | Pb Sprg/Jopl Aetna-Coventry | $59.35 |
| Aetna Contracted [320008] | Pb Sprg/Jopl Aetna-Coventry | $59.35 |
| Healthcare Highways Plus Contracted [320175] | Pb Sprg/Jopl Aetna-Cove | $59.35 |
| Health Choice Contracted [320166] | Pb Jopl Healthchoice | $61.69 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $66.55 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $66.55 |
| Boon Chapman Contracted [320055] | Pb Jopl Krey Distributing | $66.55 |
| Healthsmart Preferred Care Contracted [320184] | Pb Sprg/Jopl Arvest B | $66.55 |
| Employers Advanced Cooperative On Healthcare Contracted [320115] | Pb | $70.58 |
| FIRST HEALTH CONTRACTED [320128] | PB SPRG/JOPL First Health | $70.58 |
Inpatient
$90.75cash price (self-pay)
$121list price
$28.88–$121range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA MEDICAID [20009] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans | $28.88 |
| Aetna Medicaid Contracted [320009] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advantag | $28.88 |
| HUMANA MEDICAID [20486] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans | $28.88 |
| Humana Medicaid Contracted [320486] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advanta | $28.88 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl Aetna Medicare-Missou | $33.61 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $33.61 |
| Aetna Medicare Advantage Contracted [320010] | Pb Sprg/Jopl Aetna Med | $33.61 |
| BCBS Medicare Advantage Contracted [320047] | Pb Sprg/Jopl Blue Cross | $33.61 |
| Humana Medicare Advantage Contracted [320194] | Pb Sprg/Jopl/Ks Humana | $33.61 |
| Blue Cross And Blue Shield [20053] | Pb Sprg/Jopl Anthem Traditional O | $33.92 |
| Devoted Health Medicare Contracted [320500] | Pb Sprg-Jopl Devoted Hea | $34.95 |
| Humana Contracted [320193] | Pb Jopl Humana/Ppox | $40.33 |
| BCBS Medicaid [20046] | Pb Sprg/Jopl Missouri Care/Healthy Blue | $45.33 |
| BCBS Medicaid Contracted [320046] | Pb Sprg/Jopl Missouri Care/Healthy | $45.33 |
| Healthlink Contracted [320179] | Pb Sprg/Jopl Healthlink | $46.18 |
| Auxiant Contracted [320462] | Pb Sprg-Jopl Buchheit Dec | $50.75 |
| United Healthcare Contracted [320396] | Pb Sprg/Jopl United Healthcare | $53.64 |
| Medica [20239] | Pb Sprg-Jopl Medica | $54.03 |
| Medica Contracted [320239] | Pb Sprg-Jopl Medica | $54.03 |
| Home State Health Plan Contracted [320187] | Pb Jopl Homestate/Novasys | $54.46 |
| Aetna [20008] | Pb Sprg/Jopl Aetna-Coventry | $59.35 |
| Aetna Contracted [320008] | Pb Sprg/Jopl Aetna-Coventry | $59.35 |
| Healthcare Highways Plus Contracted [320175] | Pb Sprg/Jopl Aetna-Cove | $59.35 |
| Health Choice Contracted [320166] | Pb Jopl Healthchoice | $61.69 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $66.55 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $66.55 |
| Boon Chapman Contracted [320055] | Pb Jopl Krey Distributing | $66.55 |
| Healthsmart Preferred Care Contracted [320184] | Pb Sprg/Jopl Arvest B | $66.55 |
| Employers Advanced Cooperative On Healthcare Contracted [320115] | Pb | $70.58 |
| FIRST HEALTH CONTRACTED [320128] | PB SPRG/JOPL First Health | $70.58 |
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