IV push, single drug at Glens Falls Hospital. CPT 96374.
What Glens Falls Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$35.00cash price (self-pay)
$70.00list price
$24.29–$488range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare_FAC | $32.39 |
| Aetna | Medicare_NONFAC | $32.39 |
| Blue Cross | Blue Access_FAC | $34.03 |
| Blue Cross | Blue Access_NONFAC | $34.03 |
| Blue Cross | HMO_FAC | $36.03 |
| Blue Cross | HMO_NONFAC | $36.03 |
| Aetna | All Products_NONFAC | $43.08 |
| Aetna | All Products_FAC | $43.08 |
| BCBS_Empire HealthChoice | Medicare Advantage | $46.22 |
| CDPHP | Medicare Advantage | $46.22 |
| Blue Shield | Medicare Advantage | $48.07 |
| BCBS_Empire HealthChoice | Managed Medicaid | $63.69 |
| CDPHP | Managed Medicaid | $63.69 |
| MVP | Managed Medicaid | $63.69 |
| Fidelis | Medicaid Managed Care | $70.06 |
| Blue Shield | HMO_POS | $127 |
| Blue Shield | PPO | $127 |
| Blue Shield | Indemnity | $127 |
| MVP | Essential Plan | $134 |
| CDPHP | Essential Plans 1_2_3_4 | $143 |
| Fidelis | Essential Plan | $143 |
| MVP Commercial | Small_Large Group_CIGNA | $233 |
| MVP Commercial | Individual_Student Health Plan | $233 |
| Aetna Government Program | Medicare Advantage | $252 |
| Fidelis | Medicare Advantage | $304 |
| BCBS_Empire HealthChoice | Q-HIP HMO_EPO | $319 |
| BCBS_Empire HealthChoice | Q-HIP INDEX | $319 |
| BCBS_Empire HealthChoice | Q-HIP CHP | $319 |
| BCBS_Empire HealthChoice | Q-HIP PPO | $329 |
| Hamaspik | Medicaid Managed Care | $329 |
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