IV push, single drug at lodi hospital. CPT 96374.
What lodi hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$945cash price (self-pay)
$1,454list price
$60.66–$1,454range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| OPTUM | Managed Medicaid Transplant | $60.66 |
| Buckeye | Managed Medicaid | $63.85 |
| CARESOURCE | Managed Medicaid | $63.85 |
| ANTHEM | Managed Medicaid | $67.04 |
| MOLINA | Managed Medicaid | $67.04 |
| AMERIHEALTH | Managed Medicaid | $70.24 |
| OPTUM | Medicare Advantage Transplant | $211 |
| OPTUM | All Products VA | $211 |
| Anthem | Medicare Advantage | $217 |
| Oscar | All Products | $411 |
| HUMANA | Medicare Advantage HMO | $436 |
| MMO | Medicare Advantage HMO & PPO | $436 |
| Aetna | Medicare Advantage | $465 |
| Php | All Products | $465 |
| Phphi | All Products | $465 |
| Amish Community Aid Plan | ALL PRODUCTS | $654 |
| Aultcare | PPO/HMO | $699 |
| Ohcp | All Products | $707 |
| Omas | All Products | $727 |
| Mmo | Traditional | $758 |
| Ohio Healthy | TRANSPLANT | $785 |
| OPTUM | All Products Transplant | $823 |
| AETNA | Acop | $826 |
| Summacare | Preferred | $838 |
| Anthem | Hpn | $880 |
| Summacare | PREMIER | $910 |
| Cigna | All Products | $923 |
| Anthem | Traditional | $963 |
| Cc Ehp | All Products | $977 |
| AETNA | Asa_Whirlpool_Peia | $999 |
Inpatient
$945cash price (self-pay)
$1,454list price
$411–$1,454range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $525 |
| Amish Community Aid Plan | ALL PRODUCTS | $727 |
| Anthem | Hpn | $794 |
| Anthem | PPO/HMO | $934 |
| Anthem | Traditional | $982 |
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