IV push, single drug at Dell Children's Medical Center (Ascension Seton). CPT 96374.
What Dell Children's Medical Center (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated June 17, 2024.
Outpatient / ER
—cash price (self-pay)
—list price
$37.48–$181range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champva | 1135_champva Rest_tx 20180301 | $41.01 |
| Champva | 1136_champva Austin 20180301 | $47.82 |
| BCBS Bav Exchange | 2564_blue Cross Blue Shield Bav Exchange 20230101 | $73.34 |
| Tricare | 1229_tricare Cah Outpatient 20170101 | $89.27 |
| Tricare | 475_tricare Outpatient 20161001 | $89.27 |
| BCBS HMO Essentials | 2562_blue Cross Blue Shield HMO Essentials 20230 | $163 |
| BCBS PPO | 2560_blue Cross Blue Shield PPO 20230101 | $181 |
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All common services at Dell Children's Medical Center (Ascension Seton)