IV push, single drug at Saint Luke's North Hospital. CPT 96374.
What Saint Luke's North Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$178cash price (self-pay)
$296list price
$24.42–$438range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Managed Care (Ks) [2252] | Sunflower Behavioral Health [22503 | $24.42 |
| Medicaid Managed Care (Ks) [2252] | UHC Community Plan Of Ks [22508] | $24.42 |
| Medicaid Managed Care (Ks) [2252] | Healthy Blue Kansas [22577] | $25.40 |
| Medicaid Managed Care (Ks) [2252] | Zzzaetna Better Health Of Kansas [ | $25.40 |
| Medicaid Managed Care (Ks) [2252] | Sunflower State Health [22505] | $26.86 |
| Medicaid Managed Care (Mo) [2250] | Home State Behavioral Health [2250 | $65.12 |
| Blue Cross Blue Shield [4000] | Freedom Network Select [40021] | $133 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Healthlink PPO | $133 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Php [40001] | $133 |
| Blue Cross Blue Shield [4000] | Zzzfreedom Network Select Cerner [4000 | $133 |
| Blue Cross Blue Shield [4000] | Bc Kc Ucm Kcmo Blue Select Plus [40029 | $154 |
| Blue Cross Blue Shield [4000] | Bc Kc Hpn [40033] | $160 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Hpn [40034] | $160 |
| Humana [7500] | Zzzhumana Commercial PPO POS [75001] | $175 |
| Commercial-Contracted [8000] | Medica Exchange [80075] | $175 |
| First Health [5512] | First Health Medishare [55122] | $175 |
| First Health [5512] | First Health Misc [55116] | $175 |
| First Health [5512] | First Health Repricing Addrs [55113] | $175 |
| First Health [5512] | First Health Uprehs [55119] | $175 |
| First Health [5512] | Zzzfirst Health Benefit Management [55117] | $175 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue Exchange [40 | $179 |
| Blue Cross Blue Shield [4000] | Bc Kc Federal [40012] | $182 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue [40018] | $182 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Pref Care Blue PPO [400 | $182 |
| Blue Cross Blue Shield [4000] | Freedom Network Healthlink [40019] | $189 |
| Blue Cross Blue Shield [4000] | Freedom Network Php [40002] | $189 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care [40017] | $195 |
| Blue Cross Blue Shield [4000] | Bc Of Ks Exchange HMO [40026] | $195 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Pref Care [40010] | $195 |
| Commercial-Contracted [8000] | Phcs Multiplan [80056] | $222 |
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