IV push, single drug at Ascension Seton Edgar B. Davis (Ascension Seton). CPT 96374.
What Ascension Seton Edgar B. Davis (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$135cash price (self-pay)
$375list price
$37.48–$165range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champva | 1135_champva Rest_tx 20180301 | $37.48 |
| Champva | 1136_champva Austin 20180301 | $47.82 |
| BCBS Bav Exchange | 4127_blue Cross Blue Shield Bav Exchange 20250101 | $67.78 |
| Tricare | 1229_tricare Cah Outpatient 20170101 | $89.27 |
| BCBS Hpn | 4440_blue Cross Blue Shield Hpn 20250501 | $135 |
| BCBS Hpn | 4497_blue Cross Blue Shield Hpn (Dell, Williamson,Hays) 202 | $135 |
| BCBS HMO Essentials | 4095_blue Cross Blue Shield HMO Essentials 20250 | $149 |
| BCBS PPO | 4094_blue Cross Blue Shield PPO 20250101 | $165 |
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All common services at Ascension Seton Edgar B. Davis (Ascension Seton)