IV push, single drug at Mission Hospital. CPT 96374.
What Mission Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$281cash price (self-pay)
$478list price
$51.60–$430range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Mgmcd | $87.86 |
| United | BHMGMCD | $89.20 |
| WellCare | MGMCD | $90.49 |
| AmeriHealth | MGMCD | $91.35 |
| Partners Health Management | MGMCD | $92.26 |
| Vaya Health | MedicaidDirect | $92.26 |
| Vaya Health | MedicaidTailoredPlan | $92.26 |
| Apex Health | MCR | $95.65 |
| BCBS | BlueSelect | $142 |
| BCBS | BlueValue | $142 |
| BCBS | HMO | $142 |
| BCBS | PPO | $142 |
| Cigna | Hix | $165 |
| Cigna | Ifp | $165 |
| Aetna | AHW | $167 |
| Aetna | Connect | $167 |
| Aetna | SimplePay | $167 |
| Oscar | HIX | $171 |
| CIGNA | NewBusiness | $173 |
| Aetna | AetnaPreferred | $180 |
| MedCost | SignatureNetwork | $209 |
| Caresource | Hix | $210 |
| United | GlobalBenefitPlanAppendix | $215 |
| CIGNA | ExistingBusiness | $220 |
| AmeriHealth Caritas | Commercial-Exchange | $225 |
| MedCost | ULTRARATE | $269 |
| United | OptionsPPO | $283 |
| Aetna | COMM | $336 |
| Multiplan | COMM | $383 |
| Avalon Administrative Services | COMM | $407 |
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