IV push, single drug at Mercy St Francis Hospital. CPT 96374.
What Mercy St Francis Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$137cash price (self-pay)
$211list price
$24.42–$277range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Medicare Advantage Contracted [320398] | Hb Mtnv UHC | $57.94 |
| Qual Choice Contracted [320325] | Hb Mtnv Managed Medicare | $58.03 |
| Mercy Mgd Behavioral Health Contracted [320259] | Hb Mtnv Managed Medi | $58.03 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Mtnv Managed Medicare | $58.03 |
| Kindful Hospice Contracted [320434] | Hb Mtnv Managed Medicare | $58.03 |
| Provider Partners Health Plans Contracted [320450] | Hb Mtnv Managed M | $58.03 |
| Medical Associates Health Contracted [320444] | Hb Mtnv Managed Medica | $58.03 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Mtnv Wellcare Med | $59.69 |
| Tricare Contracted [320380] | Hb Mtnv Tricare | $71.75 |
| Novasys Contracted [320285] | Hb Mtnv Ambetter Exchange Mo | $110 |
| Sunflower Health Plan Contracted [320369] | Hb Mtnv Ambetter Exchange | $110 |
| Ambetter Contracted [320452] | Hb Mtnv Ambetter Exchange Mo | $110 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Clayco | $190 |
| United Medical Resources Contracted [320454] | Hb Mtnv Liberty Utiliti | $190 |
| Auxiant Contracted [320462] | Hb Bryv Cass Mtnv Dec Fcb Banks | $190 |
| Auxiant Contracted [320462] | Hb Bryv Cass Mtnv Dec Hydromat Deutsche | $190 |
| United Healthcare Contracted [320396] | Hb Mtnv UHC | $196 |
| United Healthcare Contracted [320396] | Hb Mtnv UHC Individual Exchang | $196 |
| United Medical Resources Contracted [320454] | Hb Mtnv UHC | $196 |
| Multiplan Contracted [320270] | Hb Mtnv Phcs (Mpi) & Savility | $200 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Qt | $200 |
| Mercy Benefit Admin Contracted [320251] | Hb Mnck Mtnv Dec (Show-Me Co | $200 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Quality Collisio | $200 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Town & Country S | $200 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Easter Seals | $200 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec City Of Jackson | $200 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Sapaugh Motors N | $200 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Bartel Communica | $200 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Tall Tree New 4. | $200 |
| Private Health Care Systems Contracted [320320] | Hb Mtnv Phcs (Mpi) & | $200 |
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