IV push, single drug at Ascension St. John Sapulpa (St. John Sapulpa, Inc.). CPT 96374.
What Ascension St. John Sapulpa (St. John Sapulpa, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$41.81cash price (self-pay)
$229list price
$59.10–$99.99range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Whole Health | 2659_mcok, Baok, Ohok Aetna Whole Health 20241001 | $59.10 |
| First Health | 2649_baok, Jpok, Mcok, Ohok First Health 20241001 | $61.03 |
| Blue Cross Blue Shield Choice | 2723_spok Blue Cross Blue Shield Blue | $93.32 |
| Blue Cross Blue Shield Lincs | 2728_spok Blue Cross Blue Shield Blue L | $93.32 |
| Blue Cross Blue Shield Preferred | 2733_spok Blue Cross Blue Shield Bl | $93.32 |
| Blue Cross Blue Shield Traditional | 2738_spok Blue Cross Blue Shield | $93.32 |
| Blue Cross Blue Shield Blue Advantage | 2722_spok Blue Cross Blue Shie | $99.99 |
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All common services at Ascension St. John Sapulpa (St. John Sapulpa, Inc.)