IV push, single drug at West Holt Memorial Hospital. CPT 96374.
What West Holt Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$91.00cash price (self-pay)
$205list price
$55.00–$280range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | PPO | $62.00 |
| United Healthcare | Commercial | $64.00 |
| DHHS | Medicaid Membership | $98.50 |
| Ambetter | Commercial | $104 |
| Molina | Commercial | $113 |
| United Healthcare | Midlands Choice | $121 |
| BCBS | Network Blue | $164 |
| Medica | Commercial | $186 |
| Aetna | Commercial | $192 |
| BCBS | Commercial | $194 |
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