IV push, single drug at Medical City Fort Worth Hospital. CPT 96374.
What Medical City Fort Worth Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$684cash price (self-pay)
$684list price
$47.91–$684range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | IFP | $92.40 |
| Cigna | QHP | $95.83 |
| Aetna | NewBusiness | $134 |
| Oscar | HIX | $142 |
| Aetna | COMM | $143 |
| Aetna | Meritain | $143 |
| Healthcare Highways | NarrowNetwork | $168 |
| Aetna | OON | $169 |
| Evry Health | COMM | $177 |
| Cigna | LocalPlus | $181 |
| Cigna | NewBusiness | $181 |
| Cigna | HMO | $202 |
| Cigna | NetworkBenefit | $202 |
| Cigna | OpenAccessPlus | $202 |
| Healthcare Highways | CityofPlano | $231 |
| Cigna | AllOther | $255 |
| Curative Administrators | COMM | $274 |
| BCBS | Traditional | $283 |
| City of McKinney | COMM | $308 |
| Fidelis SecureCare | MGMCR | $308 |
| Emerging Therapy Solutions | MGMCR | $335 |
| National ChoiceCare | WCOMP | $342 |
| Aetna | ASA | $346 |
| Cigna Lifesource | COMM | $363 |
| Aetna | WCOMP | $376 |
| PC Texas Partners | WCOMP | $376 |
| Physicians Coop of TX | MGMCR | $376 |
| Aetna Coventry First Health | EXCLUSIVE | $392 |
| Aetna Coventry First Health | NONEXCLUSIVE | $392 |
| Averde Health, Inc | PPO | $397 |
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