IV push, single drug at Mosaic Life Care at St Joseph Medical Center. CPT 96374.
What Mosaic Life Care at St Joseph Medical Center publishes for this service, straight from its standard-charges file, last updated September 26, 2025.
Outpatient / ER
$80.75cash price (self-pay)
$185list price
$24.42–$490range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna of Kansas | Managed Medicaid | $29.80 |
| Sunflower of Kansas | Managed Medicaid | $29.80 |
| United Healthcare of Kansas | Managed Medicaid | $29.80 |
| Amerigroup of Iowa | Managed Medicaid | $45.67 |
| Iowa Total Care | Managed Medicaid | $45.67 |
| Molina of Iowa | Managed Medicaid | $45.67 |
| Aetna | Medicare Advantage | $121 |
| Blue Cross Blue Shield | Medicare Advantage | $121 |
| United Healthcare | Medicare Advantage | $121 |
| Centurion | Commercial | $130 |
| Aetna | Commercial | $130 |
| Blue Cross HMO | Commercial | $133 |
| Blue Cross PCB | Commercial | $133 |
| United Healthcare | Commercial | $139 |
| Blue Cross PC | Commercial | $148 |
| GEHA Shared Services | Commercial | $150 |
| Freedom Select Healthlink | Commercial | $159 |
| Healthlink Open Access | Commercial | $159 |
| Preferred Health Professional | Commercial | $159 |
| Sisco | Commercial | $159 |
| Multiplan | Commercial | $162 |
| Cigna | Commercial | $163 |
| Ambetter | Commercial | $230 |
| United Healthcare of Missouri | Managed Medicaid | $388 |
| Home State of Missouri | Managed Medicaid | $399 |
| Healthy Blue of Missouri | Managed Medicaid | $490 |
Inpatient
$234cash price (self-pay)
$275list price
$110–$248range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centurion | Commercial | $110 |
| Blue Cross PCB | Commercial | $208 |
| Blue Cross HMO | Commercial | $208 |
| United Healthcare | Commercial | $223 |
| GEHA Shared Services | Commercial | $223 |
| Aetna | Commercial | $227 |
| Sisco | Commercial | $236 |
| Preferred Health Professional | Commercial | $236 |
| Healthlink Open Access | Commercial | $236 |
| Freedom Select Healthlink | Commercial | $236 |
| Blue Cross PC | Commercial | $239 |
| Cigna | Commercial | $242 |
| Multiplan | Commercial | $248 |
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All common services at Mosaic Life Care at St Joseph Medical Center