IV push, single drug at Adena Pike Medical Center. CPT 96374.
What Adena Pike Medical Center publishes for this service, straight from its standard-charges file, last updated August 19, 2026.
Outpatient / ER
$387cash price (self-pay)
$774list price
$186–$736range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicare Advantage | $186 |
| Humana | Medicare Advantage | $186 |
| Medigold | Medicare Advantage | $186 |
| Medical Mutual of Ohio | Medicare Advantage | $186 |
| Buckeye Community Health Plan | Medicare Advantage | $186 |
| Aetna | Medicare Advantage | $186 |
| Care Source | Medicare Advantage | $190 |
| Anthem | Medicare Advantage | $240 |
| Gateway Health | Commercial | $256 |
| Molina Marketplace | Commercial | $435 |
| Care Source Just4Me | Commercial | $435 |
| Anthem Ohio Exchange | PPO | $510 |
| Anthem Ohio Exchange | HMO | $510 |
| Sidecar Health | Commercial | $511 |
| The Health Plan | Commercial | $542 |
| Ohio PPO Connect | Commercial | $542 |
| Medical Mutual of Ohio SuperMed | Commercial | $556 |
| Medical Mutual of Ohio | Managed Care | $556 |
| Great West Health Care/Cigna | Commercial | $561 |
| Anthem | Traditional | $574 |
| First Health | Commercial | $607 |
| Ohio Health Choice | Commercial | $616 |
| Aetna (Cofinity/Meritain) | Commercial | $630 |
| United Healthcare | All Plans | $649 |
| Anthem Pathway | HMO/PPO | $668 |
| Integrated Health Plan | Commercial | $728 |
| HealthSmart | Emerald Commercial Products | $736 |
| Multiplan/Private Healthcare Systems | Commercial | $736 |
| Three Rivers Network | Commercial | $736 |
Inpatient
$387cash price (self-pay)
$774list price
$491–$736range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Ohio Exchange | PPO | $491 |
| Anthem Ohio Exchange | HMO | $491 |
| The Health Plan | Commercial | $542 |
| Ohio PPO Connect | Commercial | $542 |
| Medical Mutual of Ohio SuperMed | Commercial | $556 |
| Medical Mutual of Ohio | Managed Care | $556 |
| Great West Health Care/Cigna | Commercial | $561 |
| Anthem | Traditional | $574 |
| First Health | Commercial | $607 |
| Ohio Health Choice | Commercial | $616 |
| Aetna (Cofinity/Meritain) | Commercial | $630 |
| Anthem Pathway | HMO/PPO | $650 |
| Integrated Health Plan | Commercial | $728 |
| HealthSmart | Emerald Commercial Products | $736 |
| Multiplan/Private Healthcare Systems | Commercial | $736 |
| Three Rivers Network | Commercial | $736 |
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