IV push, single drug at Pelham Medical Center. CPT 96374.
What Pelham Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$296cash price (self-pay)
$494list price
$39.21–$565range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbs | State Health Plan Other Commercial Plan | $39.21 |
| Bcbs | Blue Preferred Exchange | $149 |
| Bcbs | Bluechoice Exchange | $149 |
| Humana | Medicare Managed Care Plan | $203 |
| Bcbs | Medicare Managed Care Plan | $204 |
| Devoted Health Plan | Medicare Managed Care Plan | $209 |
| Aetna | Medicare Managed Care Plan | $211 |
| Absolute Total Care | Medicare Managed Care Plan | $213 |
| Cigna | Healthspring Medicare Managed Care Plan | $217 |
| Bcbs | Blue Preferred Ppo | $276 |
| Bcbs | Innovations Other Commercial Plan | $276 |
| Bcbs | Bluechoice Hmo | $378 |
| Cigna | All Commercial Plans | $565 |
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