IV push, single drug at Health Alliance Mary Avenue Hospital. CPT 96374.
What Health Alliance Mary Avenue Hospital publishes for this service, straight from its standard-charges file, last updated June 24, 2026.
Outpatient / ER
$110cash price (self-pay)
$512list price
$64.90–$35,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mvp HMO/PPO | Mvp HMO/PPO | $180 |
| Veterans (Mcr) | Veterans (Mcr) | $185 |
| Aetna Medicare | Aetna Medicare | $264 |
| Beacon Medicare | Beacon Medicare | $264 |
| Blue Cross Medicare | Blue Cross Medicare | $264 |
| Cdphp Medicare | Cdphp Medicare | $264 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $264 |
| Medicare Managed 100% Hahv | Medicare Managed 100 Hahv | $264 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $264 |
| Todays Options Medicare | Todays Options Medicare | $264 |
| Medicare | Medicare | $266 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $269 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $277 |
| Todays Options | Todays Options | $291 |
| Aetna Hp Network | Aetna Hp Network | $302 |
| Beacon Exchange | Beacon Exchange | $317 |
| Aetna | Aetna | $333 |
| Aetna Employee | Aetna Employee | $333 |
| Mvp Exchange | Mvp Exchange | $333 |
| Beacon Commercial | Beacon Commercial | $343 |
| Cdphp | Cdphp | $358 |
| First Health | First Health | $358 |
| Magnacare Standard | Magnacare Standard | $358 |
| Value Options Comm (Chcs) | Value Options Comm (Chcs) | $390 |
| VALUE OPTIONS (Non-HMO) | VALUE OPTIONS (Non-HMO) | $396 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $403 |
| Magnacare Preferred | Magnacare Preferred | $410 |
| Emblem Ghi/Hip HMO/EPO/POS | Emblem Ghi/Hip HMO/EPO/POS | $410 |
| Multiplan | Multiplan | $420 |
| Blue Cross Access | Blue Cross Access | $430 |
Inpatient
$110cash price (self-pay)
$512list price
$77.00–$512range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnacare Standard | Magnacare Standard | $358 |
| Multiplan | Multiplan | $420 |
| Blue Shield - Health Now | Blue Shield - Health Now | $486 |
| Medigap | Medigap | $512 |
| NON CONTRACTED (100% POC) | NON CONTRACTED (100 PerCent POC) | $512 |
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