IV push, single drug at SBH Health System. CPT 96374.
What SBH Health System publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$42.89cash price (self-pay)
$556list price
$28.30–$445range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MetroPlus Health | CHP/HARP/HIV SNP/Medicaid | $28.30 |
| MetroPlus Health | Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliess | $28.30 |
| SOMOS | CHP/HARP/Medicaid | $30.32 |
| SOMOS | Essential | $30.32 |
| MetroPlus Health | Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (No | $34.37 |
| Healthfirst | CHP/FHP/Medicaid | $40.43 |
| Healthfirst | Commercial | $40.43 |
| MetroPlus Health | Commercial/Exchange/Gold Care/Medicare Advantage | $40.43 |
| United Healthcare | Commercial | $76.00 |
| Healthfirst | Essential Plan | $90.97 |
| Affinity | Essential Plan 1&2 | $180 |
| Affinity | Essential Plan 3&4 | $180 |
| Affinity | Medicaid/CHP/HARP | $180 |
| Fidelis | Essential Plan Aliesa | $219 |
| Healthfirst | Medicare Advantage | $219 |
| Fidelis | Essential Plan QHP | $229 |
| Fidelis | Qualified Health Plan | $229 |
| Fidelis | CHP/HARP/Medicaid | $232 |
| Wellcare | CHP/FHP/Medicaid | $245 |
| Wellcare | Medicare | $245 |
| Centers Plan For Healthy Living | Dual Advantage/Medicare Advantage/Me | $257 |
| Fidelis | Medicare Advantage | $257 |
| Hamaspik Choice Inc | Medicare | $257 |
| Hamaspik Choice Inc | Medicaid | $257 |
| Healthfirst | QHP | $257 |
| Senior Whole Health | Medicare Advantage | $257 |
| VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Spec | $257 |
| Aetna | Gatekeeper/Non-Gatekeeper | $257 |
| Aetna | Government | $257 |
| EmblemHealth | Commercial | $257 |
Inpatient
—cash price (self-pay)
$556list price
$278–$278range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hamaspik Choice Inc | Medicaid | $278 |
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