IV push, single drug at Mercy Hospital Tishomingo. CPT 96374.
What Mercy Hospital Tishomingo publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$103cash price (self-pay)
$159list price
$188–$369range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicaid Contracted [320486] | Hb Tish Ok Medicaid (Soonercare) | $188 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Tish Ok Med | $188 |
| Medicaid [20240] | Hb Tish Ok Medicaid (Soonercare) | $188 |
| Aetna Medicaid Contracted [320009] | Hb Tish Ok Medicaid (Soonercare) | $188 |
| Health Choice Contracted [320166] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, L | $369 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.