IV push, single drug at HSS West Side Outpatient Center. CPT 96374.
What HSS West Side Outpatient Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$403cash price (self-pay)
$403list price
$117–$980range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield Nj [1023] | BCBS Nj [102301] | $202 |
| Trustmark - Cigna [1343] | Trustmark - Cigna [134300] | $244 |
| Cigna [1035] | Cigna Indemnity [103505] | $244 |
| Daniel H Cook - Cigna [1339] | Daniel H Cook - Cigna [133900] | $244 |
| Qualcare [1101] | Qualcare [110100] | $244 |
| Cigna [1035] | Cigna [103500] | $244 |
| Cigna [1035] | Local 831 [103508] | $244 |
| Allied Benefit System - Cigna Network [1337] | Allied Benefit System - | $271 |
| Luminare - Aetna [1357] | Luminare - Aetna [135701] | $298 |
| Aetna [1003] | Aetna HMO [100306] | $298 |
| Aetna [1003] | Aetna International [100301] | $298 |
| Webtpa [1356] | Webtpa - Aetna [135601] | $298 |
| Allied Benefit System - Aetna Network [1011] | Allied Benefit System - | $298 |
| Aetna [1003] | Aetna PPO [100309] | $298 |
| Aetna [1003] | Aetna Managed Choice [100307] | $298 |
| Emblem Health [1043] | Emblem Hip POS [104307] | $302 |
| Emblem Health [1043] | Emblem Hip HMO [104306] | $302 |
| Emblem Health [1043] | Emblem Health Ghi [104304] | $302 |
| Emblem Health [1043] | Emblem Hcp [104311] | $302 |
| Emblem Health [1043] | Emblem Health Hip [104301] | $302 |
| Emblem Health [1043] | Emblem Hip City Plan [104315] | $302 |
| Affinity By Molina Health Plan [1005] | Affinity Essential Exchange [1 | $302 |
| Emblem Health [1043] | Emblem Hip EPO [104305] | $302 |
| Emblem Health [1043] | Emblem Ghi EPO [104303] | $302 |
| United Healthcare [1107] | Unitedhealthcare Essential Group 1 [110713] | $403 |
| United Healthcare [1107] | Unitedhealthcare Essential 3 And 4 [110714] | $403 |
| Oxford [1096] | Oxford Freedom [109601] | $570 |
| Oxford [1096] | Oxford HMO [109605] | $570 |
| Oxford [1096] | Oxford Liberty [109604] | $570 |
| Oxford [1096] | Oxford POS [109606] | $570 |
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