IV push, single drug at Champlain Valley Physicians Hospital. CPT 96374.
What Champlain Valley Physicians Hospital publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$413cash price (self-pay)
$561list price
$22.67–$1,223range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Managed Medicaid/Essential Plans | $22.67 |
| MVP | Essential Plans | $27.53 |
| MVP | Managed Medicaid | $27.53 |
| Capital District Physicians' Health Plan | Essential Plans | $32.39 |
| Capital District Physicians' Health Plan | Managed Medicaid | $32.39 |
| Empire BlueCross BlueShield | Managed Medicaid Aliessa | $32.39 |
| Fidelis Care | Managed Medicaid | $32.39 |
| Fidelis Care | Essential Plans | $34.01 |
| Empire BlueCross BlueShield | Blue Access | $34.03 |
| Empire BlueCross BlueShield | HMO | $36.03 |
| Empire BlueCross BlueShield | IND | $38.03 |
| Empire BlueCross BlueShield | Essential Plans/Managed Medicaid | $38.87 |
| Empire BlueCross BlueShield | PPO | $40.03 |
| MVP | Commercial | $42.24 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $63.20 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $133 |
| Excellus BlueCross BlueShield | Medicare Advantage | $138 |
| Humana Military | TRICARE | $138 |
| Aetna | Medicare Advantage | $145 |
| Capital District Physicians' Health Plan | Medicare Advantage | $145 |
| Empire BlueCross BlueShield | Medicare Advantage | $145 |
| Fidelis Care | Medicare Advantage | $145 |
| United Healthcare | Medicare Advantage | $145 |
| Veterans Affairs Community Care Network | Veterans Administration | $145 |
| MVP | Medicare Advantage | $145 |
| Martins Point | TRICARE Prime/Department of Defense | $154 |
| Highmark BlueShield | IND/FEP | $174 |
| Highmark BlueShield | PPO/HMO | $174 |
| Aetna | Commercial | $176 |
| Capital District Physicians' Health Plan | Commercial | $189 |
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