IV push, single drug at Mosaic Medical Center Albany. CPT 96374.
What Mosaic Medical Center Albany publishes for this service, straight from its standard-charges file, last updated September 26, 2025.
Outpatient / ER
$80.75cash price (self-pay)
$178list price
$30.07–$296range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup of Iowa | Managed Medicaid | $45.67 |
| Iowa Total Care | Managed Medicaid | $45.67 |
| Molina of Iowa | Managed Medicaid | $45.67 |
| Aetna | Medicare Advantage | $114 |
| Generic | Medicare Advantage | $114 |
| Blue Cross Blue Shield | Medicare Advantage | $114 |
| United Healthcare | Medicare Advantage | $114 |
| Sisco | Commercial | $123 |
| Centurion | Commercial | $124 |
| Aetna | Commercial | $127 |
| Blue Cross PCB | Commercial | $127 |
| Cigna | Commercial | $132 |
| Blue Cross PC | Commercial | $138 |
| Freedom Select Healthlink | Commercial | $138 |
| Healthlink Open Access | Commercial | $151 |
| Multiplan | Commercial | $151 |
| GEHA Shared Services | Commercial | $154 |
| United Healthcare | Commercial | $154 |
| Ambetter | Commercial | $171 |
| Humana | Medicare Advantage | $198 |
| Coventry | Commercial | $221 |
| Preferred Health Professional | Commercial | $221 |
| Healthy Blue of Missouri | Managed Medicaid | $286 |
| Home State of Missouri | Commercial | $286 |
| United Healthcare of Missouri | Managed Medicaid | $286 |
Inpatient
$221cash price (self-pay)
$260list price
$104–$234range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centurion | Commercial | $104 |
| Cigna | Commercial | $193 |
| Sisco | Commercial | $193 |
| Blue Cross PCB | Commercial | $201 |
| Healthlink Open Access | Commercial | $221 |
| Multiplan | Commercial | $221 |
| Blue Cross PC | Commercial | $221 |
| Freedom Select Healthlink | Commercial | $221 |
| Preferred Health Professional | Commercial | $221 |
| Aetna | Commercial | $221 |
| GEHA Shared Services | Commercial | $225 |
| United Healthcare | Commercial | $225 |
| Coventry | Commercial | $234 |
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