IV push, single drug at WTH Dyersburg Hospital. CPT 96374.
What WTH Dyersburg Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.
Outpatient / ER
$112cash price (self-pay)
$373list price
$18.07–$373range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| River Valley Plan | TennCare | $18.07 |
| Blue Cross Blue Shield of Tennessee | Network P | $157 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $157 |
| Aetna | Whole Health | $182 |
| Aetna | New Business Discount - Commercial | $191 |
| Veterans Affairs | Community Care Network | $193 |
| Blue Cross Blue Shield of Tennessee | BlueCare | $199 |
| Aetna | VHAN - Employee Networks | $201 |
| Cigna | HMO/Network/Open Access Plus | $218 |
| Cigna | IFP/LocalPlus | $218 |
| Aetna | Commercial | $239 |
| Celtic Insurance Company | Commercial-Exchange | $299 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $327 |
| Home State Health Plan | MO HealthNet Medicaid | $373 |
Inpatient
$112cash price (self-pay)
$373list price
$191–$373range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | New Business Discount - Commercial | $191 |
| Aetna | Commercial | $239 |
| Home State Health Plan | MO HealthNet Medicaid | $373 |
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