IV push, single drug at Mercy Hospital Ada. CPT 96374.
What Mercy Hospital Ada publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$303cash price (self-pay)
$466list price
$182–$474range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicaid Contracted [320009] | Hb Ada Ok Medicaid (Soonercare) | $188 |
| Medicaid [20240] | Hb Ada Ok Medicaid (Soonercare) | $188 |
| Humana Medicaid Contracted [320486] | Hb Ada Ok Medicaid (Soonercare) | $188 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Ada Ok Medi | $188 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Ada | $211 |
| Provider Partners Health Plans Contracted [320450] | Hb Ada Medicare/M | $211 |
| Essence Healthcare Medicare Contracted [320122] | Hb Ada Medicare/Mgd | $211 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Ada Medicare/Mgd Medi | $211 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Ada Medicare/Mgd | $211 |
| Indian Health Service Contracted [320198] | Hb Ada Medicare/Mgd Medica | $211 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Ada Medicare/M | $211 |
| Humana Medicare Advantage Contracted [320194] | Hb Ada Humana Mcr Adva | $211 |
| Medicare [20244] | Hb Ada Medicare/Mgd Medicare 100% | $211 |
| Health First Health Plans Medicare [20170] | Hb Ada Medicare/Mgd Medic | $211 |
| Mental Health Network Medicare [20250] | Hb Ada Medicare/Mgd Medicare | $211 |
| Halo Hcr Inc Hospice [20432] | Hb Ada Medicare/Mgd Medicare 100% | $211 |
| Windsor Medicare [20424] | Hb Ada Medicare/Mgd Medicare 100% | $211 |
| Tricare [20380] | Hb Ada Tricare | $211 |
| Mercy Hospice Okc [20252] | Hb Ada Medicare/Mgd Medicare 100% | $211 |
| Horizons Medicare [20190] | Hb Ada Medicare/Mgd Medicare 100% | $211 |
| Generic Medicare Managed Care [20137] | Hb Ada Medicare/Mgd Medicare 1 | $211 |
| Independent Health [20197] | Hb Ada Medicare/Mgd Medicare 100% | $211 |
| Cross Timbers Hospice [20098] | Hb Ada Medicare/Mgd Medicare 100% | $211 |
| Medica Medicare Advantage Contracted [320477] | Hb Ada Medica Medicare | $215 |
| Globalhealth Contracted [320145] | Hb Ada Global Health Mcr 102% | $215 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Ada Cigna Mcr | $217 |
| Cigna Medicare Advantage Contracted [320072] | Hb Ada Cigna Mcr 103% | $217 |
| Mc Anthem [20455] | Hb Ada Blue Cross Choice | $217 |
| Mc Generic Anthem [20456] | Hb Ada Blue Cross Choice | $217 |
| Blue Cross And Blue Shield [20053] | Hb Ada Blue Cross Preferred | $217 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.