IV push, single drug at Mount St. Mary's Hospital. CPT 96374.
What Mount St. Mary's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$456cash price (self-pay)
$456list price
$24.84–$548range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Catholic Health Life Pace [400005] | Catholic Health Life Pace [400005 | $36.17 |
| Excellus Rochester Medicare [450128] | Excellus Rochester Medicare [45 | $106 |
| Medicare [400001] | Medicare Part A And B [40000101] | $106 |
| Medicare [400001] | Medicare Part B [40000103] | $106 |
| Medicare [400001] | Medicare Railroad [40000104] | $106 |
| Wellcare [450129] | Wellcare HMO [45012901] | $262 |
| Mvp Healthcare [100168] | Mvp [10016801] | $264 |
| Va Veterans Affairs [700001] | Va [70000101] | $266 |
| Medicare HMO Other [450117] | Complete Senior Care [45011704] | $266 |
| Fallon Health [450115] | Fallon Health [45011501] | $266 |
| Medicare HMO Other [450117] | Medicare HMO Other [45011701] | $266 |
| Va Veterans Affairs [700001] | Va Batavia [70000104] | $266 |
| Cigna Medicare HMO [450113] | Cigna Medicare HMO [45011301] | $266 |
| Fidelis Medicare [450121] | Fidelis Medicare Advantage [45012101] | $275 |
| Fidelis Dual Advantage [450120] | Fidelis Dual Advantage [45012001] | $275 |
| Wellcare Fidelis Dual [450451] | Wellcare Fidelis Dual Access [4504510 | $275 |
| Wellcare Fidelis Dual [450451] | Wellcare Fidelis Dual Dsnp [45045103] | $275 |
| Humana Medicare [450130] | Humana Medicare PPO [45013003] | $279 |
| Humana Medicare [450130] | Humana Medicare Pffs [45013002] | $279 |
| Aetna Medicare HMO [450112] | Aetna Medicare HMO [45011201] | $279 |
| Humana Medicare [450130] | Humana Medicare HMO/POS [45013001] | $279 |
| United Healthcare Medicare [450021] | UHC Dual Complete Rppo-Snp [4500 | $280 |
| United Healthcare Medicare [450021] | UHC Medicare Advantage [45002107 | $280 |
| United Healthcare Medicare [450021] | UHC Dual Complete [45002101] | $280 |
| United Healthcare Medicare [450021] | UHC Medicare HMO [45002110] | $280 |
| United Healthcare Medicare [450021] | UHC Dual Complete Lp Snp 2018 [4 | $280 |
| Univera Healthcare Medicare [450124] | Senior Choice [45012401] | $282 |
| BCBS Medicare [450116] | Out Of Area Medicare B/C [45011605] | $283 |
| BCBS Medicare [450116] | Medicare PPO B/C [45011601] | $283 |
| BCBS Medicare [450116] | Federal Bc Over 65 [45011602] | $283 |
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