IV push, single drug at Montefiore Mount Vernon Hospital. CPT 96374.
What Montefiore Mount Vernon Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$676cash price (self-pay)
$1,040list price
$39.22–$18,107range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | All Payer | $41.87 |
| American Postal Workers | APWU Health Plan | $41.87 |
| Aetna | ASA | $112 |
| Aetna | Commercial | $112 |
| MetroPlus | Default Duals | $153 |
| MetroPlus | Medicaid Advantage Plus | $153 |
| MetroPlus | Medicare Advantage | $153 |
| Fidelis | Medicare | $266 |
| HealthFirst | IB Dual Connection HMO D-SNP | $266 |
| HealthFirst | Medicare PPO | $266 |
| Point Comfort | Indemnity | $266 |
| UHC | Medicare | $266 |
| VillageCareMAX | Medicare | $266 |
| VNSNY Choice | Medicare | $266 |
| Anthem Healthplus | Medicare | $266 |
| Wellcare | Medicare | $271 |
| Elderplan | Medicare | $273 |
| Centerlight | PACE | $273 |
| Partners Health Plan | FIDA IDD | $279 |
| Longevity | Medicare Advantage SNP Plan | $289 |
| Humana | Humana | $292 |
| Centerlight | Medicare | $292 |
| Emblem | Select Care | $319 |
| MetroPlus | Exchange Products | $345 |
| Molina Healthcare of NY Affinity | Essential Plan 1 & 2 | $366 |
| Molina Healthcare of NY Affinity | Essential Plan 200-250 | $366 |
| Anthem | Connection SG | $408 |
| Anthem | Connection LG | $408 |
| Anthem | Blue Access | $464 |
| Emblem | HIP Commerical EPO PPO | $464 |
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