IV push, single drug at Le Bonheur Children's Hospital. CPT 96374.
What Le Bonheur Children's Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$45.54cash price (self-pay)
$22,841list price
$159–$11,166range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $159 |
| MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Loc | $159 |
| Ms - Medicaid [300025] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contract | $159 |
| Molina Healthcare [350012] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contrac | $159 |
| UHC Medicaid [350006] | Hb UHC Ms Can Mlh-Tn-Leb Contract | $159 |
| MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $159 |
| Molina Healthcare [350012] | Hb Molina Mschips - Mlh-Tn Contract | $199 |
| UHC Medicaid [350006] | Hb Medicaid Tn - UHC Tenncare (Americhoice) - | $792 |
| Wellpoint Medicaid [350002] | Hb Amerigroup-Wellpoint Lebonheur Cont | $1,106 |
| Alt BCBS MS Medicare [450116] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $1,581 |
| Shared Health Of Ms - Medicare Advantage [450074] | Hb Medicare Advant | $1,581 |
| Alt BCBS TN Medicare [450115] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $1,581 |
| American Health Advantage MCR ADV [450117] | HB MEDICARE ADVANTAGE / M | $1,581 |
| Healthsprings Medicare Advantage [450007] | Hb Medicare Advantage / MA | $1,581 |
| Humana Medicare Advantage [450013] | Hb Medicare Advantage / Managed C | $1,581 |
| Optum Medicare Advantage [450112] | Hb Medicare Advantage / Managed CA | $1,581 |
| Carecentrix [450200] | Hb Medicare Advantage / Managed Care - Tn Contr | $1,581 |
| Medipak Advantage - BCBS Ar [450040] | Hb Medicare Advantage / Managed | $1,581 |
| Medicare Priority Health [450072] | Hb Medicare Advantage / Managed CA | $1,581 |
| Generic Hospice Vbid [10940000101] | Hb Medicare Advantage / Managed C | $1,581 |
| Healthy Mississippi - Medicare Advantage HMO [450114] | Hb Medicare Ad | $1,581 |
| Medicare [400001] | Hb Medicare-Tn Contract | $1,581 |
| Wellpoint Medicare [450090] | Hb Medicare Advantage Wellcare/Wellpoint | $1,581 |
| United Healthcare Medicare [450021] | Hb Medicare Advantage / Managed | $1,581 |
| BCBS Medicare Advantage [450110] | Hb Medicare Advantage / Managed Car | $1,581 |
| Wellcare By Allwell Ar Medicare Advantage [450099] | Hb Medicare Advan | $1,581 |
| Generic Medicare Advantage [459999] | Hb Medicare Advantage / Managed | $1,581 |
| Devoted Health [450111] | Hb Medicare Advantage Devoted - Tn Contract | $1,629 |
| CIGNA [100009] | HB Cigna EPO Le Bonheur | $1,926 |
| UHC Medicaid [350006] | Hb UHC Mschips Lebonheur Contract | $1,961 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.