IV push, single drug at Alice Hyde Medical Center. CPT 96374.
What Alice Hyde Medical Center publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$249cash price (self-pay)
$298list price
$22.03–$682range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Capital District Physicians' Health Plan | Essential Plans | $22.03 |
| Capital District Physicians' Health Plan | Managed Medicaid | $22.03 |
| United Healthcare | Managed Medicaid/Essential Plans | $22.67 |
| MVP | Small/Large Group Commercial | $23.46 |
| MVP | Individual Group Commercial | $24.64 |
| Fidelis Care | Child Health Plus | $27.53 |
| MVP | Essential Plans | $27.53 |
| MVP | Managed Medicaid | $27.53 |
| Fidelis Care | Managed Medicaid | $32.39 |
| Fidelis Care | Essential Plans | $34.01 |
| Fidelis Care | Health Benefit Exchange Products | $35.63 |
| Humana Military | TRICARE | $53.61 |
| Martins Point | TRICARE Prime/Department of Defense | $56.03 |
| Aetna | Medicare Advantage | $56.04 |
| Capital District Physicians' Health Plan | Medicare Advantage | $56.04 |
| MVP | Medicare Advantage | $56.04 |
| United Healthcare | Medicare Advantage | $56.04 |
| Veterans Affairs Community Care Network | Veterans Administration | $56.04 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $56.58 |
| ChoiceCare | Medicare Advantage | $57.82 |
| Fidelis Care | Medicare Advantage | $58.47 |
| Excellus BlueCross BlueShield | Medicare Advantage | $59.08 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $112 |
| ChoiceCare | Commercial | $117 |
| Aetna | Commercial | $138 |
| Capital District Physicians' Health Plan | Commercial | $143 |
| United Healthcare | Commercial | $164 |
| MagnaCare | Commercial | $219 |
| Highmark BlueShield | IND/FEP/PPO/HMO | $258 |
| St. Regis | HMO | $264 |
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