IV push, single drug at Wesley Long Hospital. CPT 96374.
What Wesley Long Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$138cash price (self-pay)
$362list price
$80.36–$355range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Carolina Complete Health | Managed Medicaid | $80.36 |
| Health Choice | Managed Medicaid | $80.36 |
| Modivcare | Managed Medicaid | $80.36 |
| Vaya Health | Managed Medicaid | $81.57 |
| Vaya Health | Tailored Plan | $81.57 |
| Vaya Health | Three Way | $81.57 |
| Partners Health | Managed Medicaid | $81.97 |
| Partners Health | Tailored Plan | $81.97 |
| Trillium Health | Managed Medicaid | $81.97 |
| Trillium Health | Tailored Plan | $81.97 |
| Humana | Choicecare | $230 |
| Aetna | First Health | $245 |
| Beacon Health | Value Options | $290 |
| Beach Street | Medicare Advantage | $355 |
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