IV push, single drug at Methodist Le Bonheur Germantown Hospital. CPT 96374.
What Methodist Le Bonheur Germantown Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$45.98cash price (self-pay)
$209list price
$18.07–$11,309range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Medicaid [350006] | Hb UHC Mschips Ob & Mlh-Tn Adult Hospitals Co | $50.00 |
| Magnolia Medicaid [350020] | Hb Medicaid Ms - Magnolia Healthcare - Tn | $159 |
| UHC Medicaid [350006] | Hb UHC Ms Can Mlh-Ms-Ob Contract | $159 |
| Molina Healthcare [350012] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contrac | $159 |
| Molina Healthcare [350012] | Hb Molina Mschips - Mlh-Tn Contract | $199 |
| Transplant Optum Tenncare [350013] | Hb Medicaid Tn - UHC Tenncare (Am | $829 |
| UHC Medicaid [350006] | Hb Medicaid Tn - UHC Tenncare (Americhoice) - | $829 |
| UNITED HEALTHCARE [100060] | HB UHC Heritage Select Contract | $2,008 |
| Wellpoint Medicaid [350002] | Hb Amerigroup-Wellpoint Tn Adult Contrac | $2,097 |
| UNITED HEALTHCARE [100060] | HB UHC Fed Ex Core | $2,117 |
| UNITED HEALTHCARE [100060] | HB UHC Fed Ex NEXUS ACO | $2,139 |
| United Healthcare [100060] | Hb UHC Fed Ex All Payer (Choice) | $2,275 |
| UNITED HEALTHCARE [100060] | HB UHC Core | $2,334 |
| United Healthcare [100060] | Hb UHC Nexus Aco Adult | $2,359 |
| UNITED HEALTHCARE [100060] | HB UHC All Payer Appendix - MUH-MNH-MSH-M | $2,510 |
| Tricare [600001] | Hb Tricare - Tn Contract | $2,715 |
| Generic Medicare Advantage [459999] | Hb Medicare Advantage / Managed | $2,805 |
| BCBS Medicare Advantage [450110] | Hb Medicare Advantage / Managed Car | $2,805 |
| Healthsprings Medicare Advantage [450007] | Hb Medicare Advantage / MA | $2,805 |
| Va Ccn UHC [600003] | Hb Va - Tn Contract | $2,805 |
| Healthy Mississippi - Medicare Advantage HMO [450114] | Hb Medicare Ad | $2,805 |
| Medicare [400001] | Hb Medicare-Tn Contract | $2,805 |
| Medipak Advantage - BCBS Ar [450040] | Hb Medicare Advantage / Managed | $2,805 |
| Shared Health Of Ms - Medicare Advantage [450074] | Hb Medicare Advant | $2,805 |
| Wellcare Medicare [450023] | Hb Medicare Advantage Wellcare/Wellpoint | $2,805 |
| United Healthcare Medicare [450021] | Hb Medicare Advantage / Managed | $2,805 |
| Carecentrix [450200] | Hb Medicare Advantage / Managed Care - Tn Contr | $2,805 |
| Medicare Priority Health [450072] | Hb Medicare Advantage / Managed CA | $2,805 |
| Alt BCBS MS Medicare [450116] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $2,805 |
| Wellpoint Medicare [450090] | Hb Medicare Advantage Wellcare/Wellpoint | $2,805 |
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All common services at Methodist Le Bonheur Germantown Hospital