IV push, single drug at Lake Granbury Medical Center. CPT 96374.
What Lake Granbury Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$98.28cash price (self-pay)
$774list price
$32.41–$867range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NODE Aetna CHIP Medicaid TX | NODE Aetna CHIP Medicaid TX | $105 |
| NODE Cook Childrens Health Plan CHIP Medicaid TX | NODE Cook Childrens | $105 |
| Medicaid | NODE TX Medicaid | $105 |
| NON PAR TX Medicaid | NODE TX Medicaid NON PAR | $105 |
| Healthspring | NODE Cigna Healthspring Medicaid TX | $111 |
| NODE Molina CHIP Medicaid TX | NODE Molina CHIP Medicaid TX | $111 |
| NODE Molina Medicaid TX | NODE Molina STAR Medicaid TX | $111 |
| Amerigroup | NODE Wellpoint CHIP Medicaid TX | $111 |
| Amerigroup | NODE Wellpoint STAR KIDS Medicaid TX | $111 |
| Amerigroup | NODE Wellpoint STAR PLUS Medicaid TX | $111 |
| NODE Superior CHIP/STAR KIDS/ STAR HEALTH Medicaid TX | NODE Superior | $121 |
| NODE Superior STAR KIDS Medicaid TX | NODE Superior STAR KIDS Medicaid | $121 |
| Superior | NODE Superior STAR Medicaid TX | $121 |
| NODE Superior STAR PLUS Medicaid TX | NODE Superior STAR PLUS Medicaid | $121 |
| NODE Aetna STAR KIDS Medicaid TX | NODE Aetna STAR KIDS Medicaid TX | $143 |
| NODE Cook Childrens Health Plan STAR KIDS Medicaid TX | NODE Cook Chil | $143 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $195 |
| Cigna | Cigna New Business | $197 |
| NODE Tricare | NODE Tricare | $203 |
| NODE ChampVA | NODE ChampVA | $214 |
| BCBS TX | BCBS TX Blue ADV | $304 |
| Cigna | Cigna ALL | $305 |
| BCBS TX | BCBS TX HMO | $320 |
| BCBS TX | BCBS TX PPO Trad | $320 |
| NODE Molina STAR PLUS Medicaid TX | NODE Molina STAR PLUS Medicaid TX | $343 |
| Aetna | Aetna Whole Health | $352 |
| Aetna | Aetna NBD | $372 |
| Aetna | NODE Aetna STAR Medicaid TX | $379 |
| NODE Cook Childrens Health Plan Medicaid TX | NODE Cook Childrens Heal | $379 |
| NODE Wellpoint STAR Medicaid TX | NODE Wellpoint STAR Medicaid TX | $398 |
Inpatient
$147cash price (self-pay)
$774list price
$60.06–$867range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $85.14 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $195 |
| Cigna | Cigna New Business | $197 |
| United Healthcare | UHC APA | $329 |
| Aetna | Aetna Whole Health | $352 |
| Aetna | Aetna NBD | $372 |
| Aetna | Aetna PPO HMO | $414 |
| Healthsmart | Healthsmart ACCEL | $426 |
| Aetna | Aetna NAB First Health Rental | $440 |
| Aetna | Aetna Auto | $532 |
| Healthsmart | Healthsmart PPO HPO | $542 |
| Santa Fe Hospital Association | Santa Fe Hospital Association | $619 |
| Multiplan | Multiplan Complementary | $681 |
| Galaxy Health | Galaxy Health PPO | $735 |
| MedCorp Southwest | MedCorp Southwest | $735 |
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