IV push, single drug at Ascension Seton Hays (Ascension Seton). CPT 96374.
What Ascension Seton Hays (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$72.00cash price (self-pay)
$860list price
$37.48–$368range 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 |
| Aarp Mc Wellmed | 4748_medicare Advantage Aarp Wellmed Outpatient (Aus | $200 |
| Sendero Chap | 4932_sendero Chap Outpatient 20250811 | $202 |
| Addr Cancer Together | 4747_addr Cancer Together Outpatient 20250811 | $204 |
| Aetna Mcr Replacement | 4749_medicare Advantage Aetna Outpatient 20250 | $204 |
| Ascension Complete Medicare Replacement | 4764_medicare Advantage Asce | $204 |
| Covid Hrsa | 4765_covid Hrsa Unin Q80 Outpatient 20250811 | $204 |
| Devoted Health Mcr Replacement | 4918_medicare Advantage Devoted Healt | $204 |
| Humana Mcr Replacement | 4921_medicare Advantage Humana Outpatient (Au | $204 |
| Medicare Replacement | 4922_medicare Advantage Outpatient 100% 2025081 | $204 |
| Research Study | 4098_research Study Op 20250101 | $204 |
| Smarthealth | 4957_smarthealth Op 20250811 | $204 |
| Superior Allwell | 4419_medicare Advantage Superior Allwell Outpatient | $204 |
| Utmb | 4125_utmb Prisons (Hay) Op 20250101 | $204 |
| Wellcare Med Advantage | 4929_medicare Advantage Wellcare Outpatient 2 | $204 |
| Welmed Medicare | 4930_medicare Advantage Welmed Outpatient (Aus,Nw,Sw | $204 |
| UHC Mcr Replacement | 4928_medicare Advantage United Healthcare Outpat | $208 |
| Connected Senior Care | 2475_medicare Advantage Connected Senior Care | $210 |
| Pphp Mcr Advantage | 4925_medicare Advantage Pphp Outpatient 20250811 | $214 |
| TX Independence Hp | 4741_tx Independence Hp Op 20250811 | $214 |
| Occunet | 4123_occunet Op 20250101 | $286 |
| Sendero Idealcare | 1571_sendero Idealcare Op 20200101 | $357 |
| Superior Ambetter | 4960_superior Ambetter Outpatient 20250811 | $368 |
Inpatient
—cash price (self-pay)
—list price
$200–$368range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aarp Mc Wellmed | 4656_medicare Advantage Aarp Wellmed Inpatient (Aus, | $200 |
| Sendero Chap | 4651_sendero Chap Inpatient 20251001 | $202 |
| Addr Cancer Together | 4681_addr Cancer Together Inpatient 20251001 | $204 |
| Aetna Mcr Replacement | 4659_medicare Advantage Aetna Inpatient 202510 | $204 |
| Ascension Complete Medicare Replacement | 4682_medicare Advantage Asce | $204 |
| Covid Hrsa | 4693_covid Hrsa Unin Q80 Inpatient 20251001 | $204 |
| Cshcn Cidc | 4694_cshcn Cidc Ip (Adult) 20251001 | $204 |
| Devoted Health Mcr Replacement | 4684_medicare Advantage Devoted Healt | $204 |
| Humana Mcr Replacement | 4661_medicare Advantage Humana Inpatient (Aus | $204 |
| Medicare Oon | 4666_medicare Advantage Inpatient Oon 20251001 | $204 |
| Medicare Replacement | 4665_medicare Advantage Inpatient 100% 20251001 | $204 |
| Research Study | 4650_research Study Ip 20251001 | $204 |
| Smarthealth | 4680_smarthealth Ip 20251001 | $204 |
| Superior Allwell | 4686_medicare Advantage Superior Allwell Inpatient | $204 |
| Tricare | 4696_tricare Inpatient 20251001 | $204 |
| Utmb | 4677_utmb Prisons (Hay) Ip 20251001 | $204 |
| Wellcare Med Advantage | 4691_medicare Advantage Wellcare Inpatient 20 | $204 |
| Welmed Medicare | 4669_medicare Advantage Welmed Inpatient (Aus,Nw,Sw, | $204 |
| UHC Mcr Replacement | 4687_medicare Advantage United Healthcare Inpati | $208 |
| Connected Senior Care | 4660_medicare Advantage Connected Senior Care | $210 |
| Pphp Mcr Advantage | 4668_medicare Advantage Pphp Inpatient 20251001 | $214 |
| TX Independence Hp | 4671_tx Independence Hp Ip 20251001 | $214 |
| Occunet | 4674_occunet Ip 20251001 | $286 |
| Sendero Idealcare | 4675_sendero Idealcare Ip 20251001 | $357 |
| Superior Ambetter | 4652_superior Ambetter Inpatient 20251001 | $368 |
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All common services at Ascension Seton Hays (Ascension Seton)