IV push, single drug at Medical City Lewisville Hospital. CPT 96374.
What Medical City Lewisville Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$378cash price (self-pay)
$414list price
$26.49–$414range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | CHIP | $28.99 |
| Superior Health Plan | MCDSTAR | $28.99 |
| Superior Health Plan | STARHealth | $28.99 |
| Cigna | IFP | $55.91 |
| Cigna | QHP | $57.98 |
| Aetna | NewBusiness | $81.18 |
| Oscar | HIX | $86.15 |
| Aetna | COMM | $86.56 |
| Aetna | Meritain | $86.56 |
| Healthcare Highways | NarrowNetwork | $101 |
| Aetna | OON | $102 |
| Evry Health | COMM | $107 |
| Cigna | LocalPlus | $109 |
| Cigna | NewBusiness | $109 |
| Cigna | HMO | $122 |
| Cigna | NetworkBenefit | $122 |
| Cigna | OpenAccessPlus | $122 |
| Healthcare Highways | CityofPlano | $140 |
| Cigna | AllOther | $154 |
| Curative Administrators | COMM | $166 |
| BCBS | Traditional | $171 |
| City of McKinney | COMM | $186 |
| Fidelis SecureCare | MGMCR | $186 |
| National ChoiceCare | WCOMP | $207 |
| Aetna | ASA | $209 |
| Aetna | WCOMP | $228 |
| PC Texas Partners | WCOMP | $228 |
| Physicians Coop of TX | MGMCR | $228 |
| Rockport Health Group | WORKERSCOMP | $228 |
| Aetna Coventry First Health | COMM | $237 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.