IV push, single drug at Frisbie Memorial Hospital. CPT 96374.
What Frisbie Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$585cash price (self-pay)
$703list price
$48.20–$921range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $57.93 |
| Well Sense Health Plan | MCD | $85.84 |
| Harvard Pilgrim | INDIVIDUAL | $187 |
| Maine Community Health | Individual | $201 |
| Maine Community Health | SmallGroup | $201 |
| Harvard Pilgrim | ELEVATE | $226 |
| Cigna | HMO | $231 |
| Tufts Health Plan | HMO | $241 |
| Tufts Health Plan | PPO | $241 |
| United | FreedomBenefitPlans | $241 |
| Cigna | PPO | $265 |
| Anthem | INDEMNITY | $281 |
| Harvard Pilgrim | HMO | $285 |
| Harvard Pilgrim | POS | $285 |
| Harvard Pilgrim | PPO | $285 |
| United | AllPayerAppendix | $295 |
| Maine Community Health | LargeGroup | $340 |
| Tufts Health Plan | POS | $402 |
| Aetna | EPO | $406 |
| Aetna | HMO | $406 |
| Aetna | POS | $406 |
| Aetna | PPO | $406 |
| United | OptionsPPO | $424 |
| EverNorth | COMM | $562 |
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