IV push, single drug at Mercy Hospital Oklahoma City. CPT 96374.
What Mercy Hospital Oklahoma City publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$369cash price (self-pay)
$568list price
$83.00–$568range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Care Contracted [320080] | Hb Oklc Community Care | $136 |
| Tricare [20380] | Hb Oklc Managed Medicare | $187 |
| Humana Medicaid Contracted [320486] | Hb Oklc Ok Medicaid (Soonercare) | $188 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Oklc Ok Med | $188 |
| Aetna Medicaid Contracted [320009] | Hb Oklc Ok Medicaid (Soonercare) | $188 |
| Medicaid [20240] | Hb Oklc Ok Medicaid (Soonercare) | $188 |
| Provider Partners Health Plans Contracted [320450] | Hb Oklc Managed M | $197 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Okl | $197 |
| Longevity Health Plan [10477] | Hb Oklc Managed Medicare | $197 |
| American Health Advantage Of Ok Medicare [20019] | Hb Oklc Managed Med | $197 |
| BCBS Medicare Advantage [20047] | Hb Oklc Managed Medicare | $197 |
| Mercy Hospice Okc [20252] | Hb Oklc Managed Medicare | $197 |
| Medicare [20244] | Hb Oklc Medicare | $197 |
| Cross Timbers Hospice [20098] | Hb Oklc Managed Medicare | $197 |
| Generic Medicare Managed Care [20137] | Hb Oklc Managed Medicare | $197 |
| Champva [20065] | Hb Oklc Managed Medicare | $197 |
| Aetna Medicare Advantage Contracted [320010] | Hb Oklc Aetna Mcr | $197 |
| Aetna Medicare Advantage Contracted [320010] | Hb Oklc Managed Medicar | $197 |
| BCBS Medicare Advantage Contracted [320047] | Hb Oklc Managed Medicare | $197 |
| Kindful Hospice [20434] | Hb Oklc Managed Medicare | $197 |
| Elara Caring Aspire Hospice [20433] | Hb Oklc Managed Medicare | $197 |
| Halo Hcr Inc Hospice [20432] | Hb Oklc Managed Medicare | $197 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Oklc Indian Healt | $197 |
| Medica Medicare Advantage Contracted [320477] | Hb Oklc Medica Medicar | $200 |
| Medica Medicare Advantage [20477] | Hb Oklc Medica Medicare Eff 031523 | $200 |
| Globalhealth Medicare Advantage [20145] | Hb Oklc Managed Medicare | $201 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Oklc Cigna Mc | $203 |
| Cigna Medicare Advantage Contracted [320072] | Hb Oklc Cigna Mcr 103% | $203 |
| Devoted Health Medicare Contracted [320500] | Hb Oklc Devoted Health M | $209 |
| Amg Spec Hosp Edmond [20034] | Hb Oklc Ltac Mcr 105% | $211 |
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