IV push, single drug at Baylor Scott & White Medical Center - Grapevine. CPT 96374.
What Baylor Scott & White Medical Center - Grapevine publishes for this service, straight from its standard-charges file, last updated June 29, 2026.
Outpatient / ER
$315cash price (self-pay)
$524list price
$78.65–$531range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | Medicaid | $78.65 |
| Aetna | Medicaid | $80.22 |
| Blue Cross Blue Shield | Blue Advantage | $122 |
| Baylor Scott & White Health Plan | Medicare Advantage | $203 |
| CORVEL | Worker's Compensation | $208 |
| Aetna | Medicare Advantage | $214 |
| Humana | Medicare | $214 |
| TriWest | Community Care Network | $214 |
| American Health Plan | Medicare Advantage | $225 |
| Blue Cross Blue Shield | Medicare Advantage | $225 |
| HealthSpring | Medicare Advantage | $225 |
| ProCare Advantage | Medicare Advantage | $225 |
| Superior Health Plan | Medicare | $225 |
| Blue Cross Blue Shield | City of Dallas | $231 |
| United Healthcare | Medicare Advantage | $240 |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My Blue | $243 |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $244 |
| Employers Health Network | BSWQA Direct/EHN Rental | $246 |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $257 |
| Blue Cross Blue Shield | BlueChoice (PPO) | $257 |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premi | $258 |
| Cigna | Local Plus | $258 |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $269 |
| Prime Health Services | Worker's Compensation | $270 |
| Aetna | Commercial | $288 |
| QuikTrip | Employee Benefit Plan | $288 |
| Employers Health Network | EHN Network | $288 |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier | $304 |
| Cigna | HMO/PPO | $304 |
| Imagine Health | Commercial | $304 |
Inpatient
$315cash price (self-pay)
$524list price
$288–$367range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Employee Benefit Plan | $288 |
| Curative | Commercial | $341 |
| First Health | PPO | $367 |
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All common services at Baylor Scott & White Medical Center - Grapevine