IV push, single drug at Upper Valley Medical Center. CPT 96374.
What Upper Valley Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$447cash price (self-pay)
$447list price
$208–$644range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Hmo | Aetna Medicare | $208 |
| Medicare Hmo | Humana Medicare | $213 |
| Medicare Hmo | Communicare Advantage I-Snp | $215 |
| Medicare Hmo | Buckeye Medicare Advantage | $219 |
| Medicare Hmo | Devoted Health Plans | $221 |
| Anthem | Anthem Marketplace-Exchange Plans | $300 |
| Contracted Commercial | Caresource Marketplace | $313 |
| Anthem | Anthem Blue Connection High Performance Network | $483 |
| Anthem | Anthem Bcbs | $644 |
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