IV push, single drug at Matagorda Regional Medical Center. CPT 96374.
What Matagorda Regional Medical Center publishes for this service, straight from its standard-charges file, last updated January 23, 2026.
Outpatient / ER
$92.00cash price (self-pay)
$184list price
$103–$166range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Medicaid | $103 |
| Comm Care | Medicaid | $103 |
| Molina | Medicaid | $103 |
| Scott & White | Medicaid | $103 |
| Superior | Medicaid | $103 |
| TCStar | Medicaid | $103 |
| Wellpoint | Medicaid | $103 |
| UHC Comm Care | Medicaid | $103 |
| Aetna | PPO | $115 |
| Humana | All PPO POS Plans | $120 |
| BCBS | Blue Essentials | $124 |
| UHC | PPO | $127 |
| Coventry First Health | PPO | $129 |
| Galaxy Health | PPO | $129 |
| BCBS | Blue Advantage | $135 |
| Cigna | Commercial | $138 |
| BCBS | Traditional | $150 |
| BCBS | PPO | $150 |
| Independent Medical System | Commercial | $156 |
| Multiplan PHCS | Commercial | $156 |
| Three Rivers | Commercial | $156 |
| Health Smart | Preferred | $166 |
| USA Managed | Commercial | $166 |
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