IV push, single drug at 62-1113167 BMH Tipton. CPT 96374.
What 62-1113167 BMH Tipton publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$88.32cash price (self-pay)
$378list price
$64.42–$1,134range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TN BCBS | TennCare | $64.42 |
| TN BCBS | CoverKids | $69.81 |
| Aetna | Commercial | $106 |
| TN BCBS | Network E | $123 |
| TN BCBS | Network L | $136 |
| TN BCBS | Network S | $144 |
| AR BCBS | FirstSource PPO/HealthAdvantage HMO/Preferred Payment Plan/T | $196 |
| AR BCBS | TrueBlue Individual Metallic-Level Plan | $196 |
| Ar BCBS | Lppo | $197 |
| AR BCBS | Medicare | $197 |
| Devoted Health | Medicare | $197 |
| Aetna | Medicare | $203 |
| American Health Plan | Medicare | $203 |
| TN BCBS | Medicare | $203 |
| Tn BCBS | Dsnp | $203 |
| TN BCBS | Network P | $209 |
| Butler Snow | Commercial | $227 |
| First Choice Health Plan of MS | Commercial | $264 |
| Arlington Community Schools | Commercial | $318 |
| Bartlett City Schools | Commercial | $318 |
| City of Bartlett | Commercial | $318 |
| City of Lakeland | Commercial | $318 |
| Collierville Schools | Commercial | $318 |
| EAS MSSC Schools | Commercial | $318 |
| Armstrong Relocation | Commercial | $347 |
| Ashley Furniture Stores | Commercial | $347 |
| Brimhall Foods | Commercial | $347 |
| Building Plastic | Commercial | $347 |
| Burch Food Services | Commercial | $347 |
| Cannon Motor Company | Commercial | $347 |
Inpatient
$88.32cash price (self-pay)
$378list price
$140–$348range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PPO Holdings | Commercial | $143 |
| Magnolia Regional Health Center | Commercial | $151 |
| Littler | Commercial | $189 |
| Molina | Exchange | $189 |
| Access Health Services | Commercial | $227 |
| Ar BCBS | Lppo | $227 |
| AR BCBS | Medicare | $227 |
| Butler Snow | Commercial | $227 |
| UHC Student Resources | Commercial | $227 |
| Mpcn | PPO/HMO | $283 |
| Multiplan | Complementary Network | $283 |
| NovaSys | All | $283 |
| PPO Plus | Commercial | $321 |
| QCA | All | $340 |
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