IV push, single drug at Grace Surgical Hospital. CPT 96374.
What Grace Surgical Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$204cash price (self-pay)
$523list price
$91.71–$251range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Baylor Scott And White | Individual Bsw Premier Exchange | $91.71 |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Comm | $111 |
| Bcbs | Hmo | $135 |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $155 |
| Bcbs | Par Traditional | $157 |
| Bcbs | Ers Hmo | $195 |
| Bcbs | Ppo | $207 |
| Bcbs | Vapc3 Government | $207 |
| Aetna | Medicare Managed Care Plan | $214 |
| Superior | Wellcare Medicare Managed Care Plan | $224 |
| Unitedhealthcare | Medicare Managed Care Plan | $225 |
| Aetna | Preferred Other Commercial Plan | $251 |
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