IV push, single drug at Samaritan Hospital. CPT 96374.
What Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$212cash price (self-pay)
$326list price
$7.32–$611range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Capital District Physicians Health Medicaid Advantage | Cdphp Medicaid | $58.87 |
| Blue Cross - Ia (Wellmark) | Blue Shield Of Ne New York HMO | $132 |
| Blue Cross - IL | Blue Shield Of Ne New York HMO | $132 |
| Blue Cross - Ks | Blue Shield Of Ne New York PPO | $165 |
| Blue Cross - Ia (Wellmark) | Blue Shield Of Ne New York PPO | $165 |
| Blue Cross - La | Blue Shield Of Ne New York PPO | $165 |
| Blue Cross - Ms | Blue Shield Of Ne New York PPO | $165 |
| Blue Cross - Ne | Blue Shield Of Ne New York PPO | $165 |
| Blue Cross - IL | Blue Shield Of Ne New York PPO | $165 |
| Blue Shield - Id (Regence) | Blue Shield Of Ne New York PPO | $165 |
| Blue Cross - Va (Carefirst) | Blue Shield Of Ne New York PPO | $165 |
| Blue Cross - Wa (Premera) | Blue Shield Of Ne New York PPO | $165 |
| Blue Shield - Wa (Regence) | Blue Shield Of Ne New York PPO | $165 |
| Blue Cross - Wv (Highmark) | Blue Shield Of Ne New York PPO | $165 |
| Blue Cross - Pa (Capital) | Blue Shield Of Ne New York PPO | $165 |
| Blue Cross - NY (Excellus) Medicaid Advantage | Empire Medicaid | $167 |
| Blue Cross - NY (Excellus) Medicaid Advantage | Empire Medicaid Essent | $171 |
| Cigna Eap | Cigna | $215 |
| Diversified Administrators | Cigna | $215 |
| Blue Cross - NY (Anthem) Medicare Advantage | Empire BCBS Medicare Adv | $260 |
| Mvp Medicare Advantage | Mvp Medicare Advantage | $266 |
| Secure Horizons MA Pffs | United Healthcare Medicare Advantage | $271 |
| Vnsny Choice Medicaid | Vns Choice | $281 |
| Vnsny Choice Medicare | Vns Choice | $281 |
| Fidelis Medicare | Fidelis Medicare Advantage | $290 |
| Wellcare Medicare | Wellcare Medicare Advantage | $290 |
| Blue Shield - NY Highmark Northeastern Medicare Advantage | Blue Shiel | $292 |
| Blue Cross - NY (Excellus) Medicare Advantage | Blue Shield Of Ne New | $292 |
| Emblem Health Medicare Advantage | Emblem Medicare Advantage | $297 |
| Fidelis Care | Fidelis Health Benefit Exchange | $478 |
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