IV push, single drug at Rock County Hospital. CPT 96374.
What Rock County Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$261cash price (self-pay)
$275list price
$72.00–$267range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | PPO | $72.00 |
| Oscar | HMO | $72.00 |
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $99.00 |
| Molina | Commercial | $173 |
| Molina | Medicare Advantage | $173 |
| United Healthcare | Commercial | $244 |
| Nebraska Total Care | Commercial | $248 |
| Integrated Health Plan | PPO | $261 |
| Interplan Health Group | Commercial | $261 |
| Blue Cross Blue Shield of Nebraska | PPO | $264 |
| Coventry Health Care | Commercial | $264 |
| First Health | Commercial | $264 |
| Medica | Commercial | $264 |
| Mutually Preferred | Commercial | $264 |
| MultiPlan | PPO | $267 |
| PPO Next | PPO | $267 |
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