IV push, single drug at WTH Bolivar Hospital. CPT 96374.
What WTH Bolivar Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.
Outpatient / ER
$112cash price (self-pay)
$373list price
$23.48–$337range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| River Valley Plan | TennCare | $23.48 |
| Veterans Affairs | Community Care Network | $89.52 |
| Blue Cross Blue Shield of Tennessee | BlueCare | $92.21 |
| Blue Cross Blue Shield of Tennessee | BlueChoice HMO | $92.21 |
| Cigna-HealthSpring | Medicare Advantage | $92.88 |
| Aetna | AWH/Vanderbilt Health Affiliated Network (VHAN)/VHAN - Employe | $242 |
| Blue Cross Blue Shield of Tennessee | Network P | $254 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $254 |
| Aetna | Commercial | $257 |
| United Healthcare | All Payer | $319 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $327 |
| Celtic Insurance Company | Commercial-Exchange | $337 |
Inpatient
$112cash price (self-pay)
$373list price
$257–$257range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $257 |
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