IV push, single drug at CHRISTUS Santa Rosa Hospital - Westover Hills. CPT 96374.
What CHRISTUS Santa Rosa Hospital - Westover Hills publishes for this service, straight from its standard-charges file, last updated January 13, 2026.
Outpatient / ER
$169cash price (self-pay)
$536list price
$56.43–$1,493range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Chip KM | $58.91 |
| Aetna | Star KM | $58.91 |
| Blue Cross Blue Shield Of Texas | Star Chip KM | $58.91 |
| Community First | Chip KM | $58.91 |
| Community First | Star KM | $58.91 |
| Community First | Star Kids KM | $58.91 |
| Driscoll Children's Health Plan | Chip KM | $58.91 |
| Driscoll Children's Health Plan | Star KM | $58.91 |
| Driscoll Children's Health Plan | Star Kids KM | $58.91 |
| El Paso First | KM | $58.91 |
| Amerigroup | Chip KM | $64.26 |
| Amerigroup | Star KM | $64.26 |
| Amerigroup | Star Kids KM | $64.26 |
| Amerigroup | Star Plus KM | $64.26 |
| Community First | Med Adv MM | $64.26 |
| Blue Cross Blue Shield of Texas | Blue AdvantangeHMO | $96.33 |
| Blue Cross Blue Shield of Texas | HMO | $118 |
| Blue Cross Blue Shield of Texas | HEB | $120 |
| Blue Cross Blue Shield of Texas | PPO | $133 |
| Blue Cross Blue Shield of Texas | Traditional | $140 |
| Aetna | MM | $198 |
| Allwell | Superior Health MM | $198 |
| Blue Cross Blue Shield of Texas | MM | $198 |
| Christus Health | Med Adv MM | $198 |
| Coventry | First Health MM | $198 |
| Cigna | New Business | $198 |
| Amerigroup | MM | $214 |
| Devoted Health Plan | MM | $214 |
| American Health Medicare | Advantage MM | $218 |
| Employer Direct | Healthcare PPO | $237 |
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All common services at CHRISTUS Santa Rosa Hospital - Westover Hills