IV push, single drug at Mercy Hospital Healdton. CPT 96374.
What Mercy Hospital Healdton publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$142cash price (self-pay)
$218list price
$59.88–$369range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Essence Healthcare Medicare Contracted [320122] | Hb Hmh Managed Medic | $59.88 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Hmh Managed Medicare | $59.88 |
| Indian Health Service Contracted [320198] | Hb Hmh Managed Medicare 10 | $59.88 |
| Humana Medicare Advantage Contracted [320194] | Hb Hmh Managed Medicar | $59.88 |
| Humana Contracted [320193] | Hb Hmh Managed Medicare 100% W/Seq | $59.88 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Hmh Managed Me | $59.88 |
| Halo Hcr Inc Hospice [20432] | Hb Hmh Managed Medicare 100% W/Seq | $59.88 |
| Windsor Medicare [20424] | Hb Hmh Managed Medicare 100% W/Seq | $59.88 |
| Tricare [20380] | Hb Hmh Tricare | $59.88 |
| Mental Health Network Medicare [20250] | Hb Hmh Managed Medicare 100% | $59.88 |
| Mercy Hospice Okc [20252] | Hb Hmh Managed Medicare 100% W/Seq | $59.88 |
| Medicare [20244] | Hb Hmh Medicare | $59.88 |
| Cross Timbers Hospice [20098] | Hb Hmh Managed Medicare 100% W/Seq | $59.88 |
| Health First Health Plans Medicare [20170] | Hb Hmh Managed Medicare 1 | $59.88 |
| Horizons Medicare [20190] | Hb Hmh Managed Medicare 100% W/Seq | $59.88 |
| Independent Health [20197] | Hb Hmh Managed Medicare 100% W/Seq | $59.88 |
| Globalhealth Contracted [320145] | Hb Hmh Globalhealth Mcr 102% W/Seq | $61.08 |
| Home State Health Plan Contracted [320187] | Hb Hmh Ambetter Exchange | $65.40 |
| Blue Cross And Blue Shield [20053] | Hb Hmh Blue Cross Preferred | $80.66 |
| Blue Cross And Blue Shield [20053] | Hb Hmh Blue Cross Advantage PPO | $82.84 |
| Medica Contracted [320239] | Hb Hmh Medica Exchange 136% Mcr No Seq | $83.01 |
| Blue Cross And Blue Shield [20053] | Hb Hmh Blue Choice PPO | $89.38 |
| Blue Cross And Blue Shield [20053] | Hb Hmh Blue Traditional | $91.56 |
| Mercy Benefit Admin Contracted [320251] | Hb Ada, Ardm, Hmh, Kgfer, Lg | $131 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm Dec Town An | $131 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm Clayco Dec | $142 |
| First Health Contracted [320128] | Hb Hmh First Health | $149 |
| Healthsmart Accel Contracted [320183] | Hb Hmh Healthsmart Accel | $153 |
| Cigna Healthcare Contracted [320071] | Hb Hmh Cigna | $164 |
| Healthcare Highways Plus Contracted [320175] | Hb Ada, Hmh, Kgfer, Lgn | $164 |
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