IV push, single drug at Medical Center Of Southeast Texas. CPT 96374.
What Medical Center Of Southeast Texas publishes for this service, straight from its standard-charges file, last updated September 2, 2026.
Outpatient / ER
$210cash price (self-pay)
$397list price
$22.85–$789range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Health Choice CHIP | Community Health Choice CHIP | $22.85 |
| Texas Childrens Health Plan | Texas Childrens Health Plan | $31.42 |
| Molina Medicaid | Molina Medicaid | $32.99 |
| Texas Childrens Health Plan STAR KIDS | Texas Childrens Health Plan ST | $32.99 |
| United Healthcare Medicaid Star/Chips | United Healthcare Medicaid Sta | $34.28 |
| Wellpoint Amerigroup Star Kids/CHIPS | Wellpoint Amerigroup Star Kids/ | $51.84 |
| Community Health Choice STAR UHRIP | Community Health Choice STAR UHRI | $57.18 |
| Texas Childrens Health Plan Star UHRIP | Texas Childrens Health Plan S | $57.18 |
| Wellpoint Amerigroup STAR UHRIP | Wellpoint Amerigroup STAR UHRIP | $57.18 |
| Molina Healthcare STAR UHRIP | Molina Healthcare STAR UHRIP | $60.01 |
| United Healthcare STAR UHRIP | United Healthcare STAR UHRIP | $60.01 |
| BCBS of Texas Premier | BCBS of Texas Premier | $65.80 |
| BCBS of Texas Blue Advantage HMO HIX | BCBS of Texas Blue Advantage HM | $66.20 |
| Texas Childrens Health Plan STAR PLUS UHRIP | Texas Childrens Health P | $81.06 |
| Wellpoint Amerigroup STAR PLUS UHRIP | Wellpoint Amerigroup STAR PLUS | $81.06 |
| Molina Healthcare STAR PLUS UHRIP | Molina Healthcare STAR PLUS UHRIP | $85.15 |
| United Healthcare STAR PLUS UHRIP | United Healthcare STAR PLUS UHRIP | $85.15 |
| BCBS of Texas Traditional | BCBS of Texas Traditional | $164 |
| Humana Medicare Advantage | Humana Medicare Advantage | $203 |
| BCBS of Texas Medicare Adv HMO | BCBS of Texas Medicare Adv HMO | $210 |
| Healthspring Medicare Advantage | Healthspring Medicare Advantage | $210 |
| finthrive | Medicare | $210 |
| Tricare | Tricare | $214 |
| BCBS of Texas PPO POS | BCBS of Texas PPO POS | $220 |
| Aetna HMO | Aetna HMO | $230 |
| League Medical Concepts | League Medical Concepts | $231 |
| Magellan Behavioral Health | Magellan Behavioral Health | $238 |
| Community Health Choice HIX | Community Health Choice HIX | $256 |
| Humana Commercial | Humana Commercial | $262 |
| First Health | First Health | $278 |
Inpatient
—cash price (self-pay)
$397list price
$164–$397range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS of Texas Traditional | BCBS of Texas Traditional | $164 |
| Magellan Behavioral Health | Magellan Behavioral Health | $238 |
| Galaxy Health Network | Galaxy Health Network | $278 |
| Texas Municipal League | Texas Municipal League | $278 |
| Multiplan | Multiplan | $317 |
| United Behavioral Health | United Behavioral Health | $397 |
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