IV push, single drug at Saint Clares Dover Hospital. CPT 96374.
What Saint Clares Dover Hospital publishes for this service, straight from its standard-charges file, last updated September 10, 2026.
Outpatient / ER
$246cash price (self-pay)
$1,030list price
$197–$875range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | HUMANA MILITARY TRICARE | $197 |
| UHC | UHC Commercial Oxford | $210 |
| UHC | UHC Commercial All Payers | $217 |
| UHC - Adhoc | UHC - Adhoc Oxford | $217 |
| UHC - Adhoc | UHC - Adhoc All Payer | $230 |
| Aetna | Aetna Medicare | $247 |
| Amerihealth | Amerihealth HMO Medicare | $247 |
| Clover Health | Clover Medicare | $247 |
| Horizon | Horizon Medicare | $247 |
| Traditional Medicare | Traditional Medicare | $247 |
| Tricare | Tricare | $247 |
| UHC | UHC Medicare | $247 |
| Wellcare | Wellcare Medicare | $247 |
| Wellpoint Amerigroup | Wellpoint Amerigroup Medicare | $247 |
| ALLY-ALIGN (fka Spartan Health Plan) | ALLY-ALIGN (fka Spartan Health | $259 |
| Wellcare | Wellcare Insurance Exchange (01-01-2022 to 12-31-2026) | $333 |
| Employer Direct Healthcare | Employer Direct Healthcare | $345 |
| Fairprice Healthcare Holdings - Fphh | Fairprice Healthcare Holdings - | $395 |
| Coventry | Coventry Auto | $493 |
| Coventry | Coventry workers comp | $493 |
| Horizon | Horizon BCBS of NJ HMO POS | $513 |
| Horizon | Horizon BCBS of NJ Indemnity | $513 |
| Horizon | Horizon BCBS of NJ PPO | $513 |
| Aetna | Aetna Commercial | $523 |
| Aetna | Aetna Medical Rental Network | $523 |
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