IV push, single drug at Frederick Ferris Thompson Hospital. CPT 96374.
What Frederick Ferris Thompson Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$72.15cash price (self-pay)
$686list price
$25.19–$733range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Medicaid 1716,United Healthcare 5158 | United Health | $25.19 |
| Mvp Medicaid 1712, Mvp 2900 | Mvp Option Medicaid 171201, Mvp Essentia | $29.61 |
| Excellus Medicaid 1706, Excellus Blue Cross Blue Shield 2201 | Blue Ch | $30.09 |
| United Healthcare Medicare 1309 | United Healthcare Medicare 130901,Se | $30.95 |
| Fidelis Medicaid 1708, Fidelis 5155 | Fidelis Medicaid 170801, Fidelis | $32.29 |
| Highmark Blue Cross Blue Shield Of Western NY Medicare 1301 | Highmark | $32.39 |
| Capital District Physicians (Cdphp) Medicaid 1704 | Capital District P | $32.39 |
| Aetna Medicare 1300, Aetna 2700 | Aetna Medicare 130001, Aetna Senior | $33.29 |
| Excellus Blue Cross Blue Shield 2201 | Excellus Metal Tiers 220102, Un | $33.29 |
| Medicare Blue Choice 1306 | Medicare Blue Choice 130601, Blue Medicare | $33.29 |
| Fidelis Medicaid 1708, Fidelis 5155 | Fidelis Essential (No Medicaid) | $33.86 |
| Medicare Blue Choice 1306 | Univera Senior Choice Medicare 130603 | $35.84 |
| Mvp 2900 | Mvp Premier Individual 290002, Mvp Premier Group 290003 | $36.22 |
| Mvp Medicare 1307, Mvp Medicare Dual Access Dsnp 1321 | Mvp Medicare 1 | $36.27 |
| Empire Plan 5179, Empire Plan UHC 5180 | Empire Plan 517901, Empire Pl | $38.28 |
| Amerigroup (Blue Cross Blue Shield Wny Alternate) 1720 | Amerigroup (B | $38.73 |
| Aetna 2700 | Aetna Chickering 270001,Aetna 270002,Aetna Ur 270003,Aetn | $41.04 |
| Highmark Blue Cross Blue Shield Of Western NY Medicaid 1702, Highmark | $41.15 |
| Fidelis 5155 | Fidelis Metal Tiers 515501 | $43.64 |
| Umr 5142,United Healthcare 5158, Pomco Ins Co 5157 | Umr 514201,United | $43.98 |
| Highmark Blue Cross Blue Shield 5143 | Highmark BCBS 514301 | $46.49 |
| Lifetime Benefit Solutions 2200,Excellus Blue Cross Blue Shield 2201,O | $46.72 |
| Highmark Blue Cross Blue Shield Of Western NY Medicaid 1702, Amerigrou | $48.41 |
| Independent Health 5156 | Independent Health (Buffalo NY) 515601,Nova | $49.84 |
| Mvp 2900, Cigna 5144 | Mvp Commercial Non PPO Fully Insured 290001, Mv | $49.99 |
| Capital District Physicians Health Plan (Cdphp) 5149 | Capital Distric | $90.62 |
| Cdphp Medicare 1320 | Cdphp Medicare 132001 | $162 |
| Medicare Blue Choice 1306 | Medicare Blue Choice 130601 | $215 |
| Fidelis Medicare 1311 | Fidelis Medicare 131101 | $266 |
| United Healthcare Medicare 1309 | United Healthcare Medicare 130901 | $266 |
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