IV push, single drug at Parkridge Valley Hospital. CPT 96374.
What Parkridge Valley Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$294cash price (self-pay)
$377list price
$42.96–$341range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ambetter | CORE | $54.98 |
| Aetna | MGMCRHMO | $56.48 |
| Aetna | MGMCRPPO | $56.48 |
| Aetna | MGMCRSNP | $56.48 |
| Peach State (Ambetter) | HIX | $60.25 |
| BCBS | NetworkS | $67.78 |
| NHC Advantage, Inc. | MCRHMO | $73.52 |
| Pruitt Health (AllyAlign) | MCR | $73.52 |
| Wellcare | MCD | $75.31 |
| Humana | TRICARE | $94.14 |
| Aetna | NewBusiness | $105 |
| BCBS | StandardBH | $117 |
| Aetna | COMM | $124 |
| Health One Alliance | COMMHIX | $173 |
| Value Option | COMM | $188 |
| Magellan Behavioral Health | COMM | $226 |
| Magellan Behavioral Health | MCR | $226 |
| Multiplan | COMM | $226 |
| Humana BH | MCR | $245 |
| MHNet | COMM | $290 |
| Cigna Evernorth Behavioral Health | COMM | $301 |
| ComPsych | COMM | $301 |
| Beech Street | COMM | $331 |
| Prime Health | COMMPPO | $331 |
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