IV push, single drug at Memorial Hospital at Gulfport. CPT 96374.
What Memorial Hospital at Gulfport publishes for this service, straight from its standard-charges file, last updated June 18, 2026.
Outpatient / ER
$33.00cash price (self-pay)
$352list price
$28.93–$943range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | Exchange Facility | $36.23 |
| UHC | Exchange Non-Facility | $36.23 |
| Cigna | Marketplace | $46.22 |
| UHC | Facility | $49.19 |
| Sas Mhg | HDHP | $56.03 |
| Blue Cross | Bc State | $70.00 |
| UHC | Mscan | $159 |
| UHC | Chip | $159 |
| Molina | Mscan | $164 |
| UHC | Medicare Advantage PPO | $188 |
| Magnolia Health | Medicaid | $192 |
| Blue Cross | Medicare Advantage | $196 |
| Aetna | Medicare Advantage | $197 |
| Magnolia Health | Medicare Advantage | $197 |
| Well Care | Medicare Advantage | $197 |
| Humana | Medicare Advantage | $199 |
| Humana | All Products | $205 |
| UHC | Marketplace | $208 |
| Cigna | PPO | $224 |
| Blue Cross | Federal | $227 |
| Sas Mhg | Employees | $228 |
| Molina | Chip | $230 |
| First Choice | Percentage | $269 |
| First Health | All Products | $269 |
| Magnolia Health | All Products | $274 |
| Molina | All Products | $293 |
| Blue Cross | All Products | $299 |
| Aetna | All Products | $335 |
| Mpcn | All Products | $338 |
| Fox Everett | Hub | $357 |
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