IV push, single drug at 64-0772726 BMH North Mississippi. CPT 96374.
What 64-0772726 BMH North Mississippi publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$20.24cash price (self-pay)
$368list price
$24.64–$720range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Health | Medicare | $196 |
| MS BCBS | Medicare | $197 |
| Aetna | Medicare | $201 |
| American Health Plan | Medicare | $201 |
| Cigna | Commercial | $202 |
| Aetna | Commercial | $239 |
| First Choice Health Plan of MS | Commercial | $258 |
| Brimhall Foods | Commercial | $288 |
| Christian Health Aid | Commercial | $294 |
| First State Bank Trust | Commercial | $326 |
| Arlington Community Schools | Commercial | $345 |
| Armstrong Relocation | Commercial | $345 |
| Ashley Furniture Stores | Commercial | $345 |
| Bartlett City Schools | Commercial | $345 |
| Building Plastic | Commercial | $345 |
| Burch Food Services | Commercial | $345 |
| Cannon Motor Company | Commercial | $345 |
| Carlisle | Commercial | $345 |
| City of Bartlett | Commercial | $345 |
| City of Lakeland | Commercial | $345 |
| Collierville Schools | Commercial | $345 |
| Crittenden County | Commercial | $345 |
| Davidson Hospitality | Commercial | $345 |
| Delta Industries | Commercial | $345 |
| DeSoto Co Board of Supervisors | Commercial | $345 |
| Dunn Investment Company | Commercial | $345 |
| EAS MSSC Schools | Commercial | $345 |
| First Choice Health Plan of MS | HPN | $345 |
| First Community Bank | Commercial | $345 |
| French Camp Academy | Commercial | $345 |
Inpatient
$20.24cash price (self-pay)
$368list price
$33.44–$720range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PPO Holdings | Commercial | $140 |
| Magnolia Regional Health Center | Commercial | $147 |
| Littler | Commercial | $184 |
| Molina | Exchange | $184 |
| Cigna | Commercial | $202 |
| Humana | PPO | $243 |
| Multiplan | Complementary Network | $276 |
| Multiplan | MPI Primary Network | $276 |
| NovaSys | All | $276 |
| Christian Health Aid | Commercial | $294 |
| PPO Plus | Commercial | $313 |
| QCA | All | $331 |
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