IV push, single drug at Medical City Plano Hospital. CPT 96374.
What Medical City Plano Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$177cash price (self-pay)
$1,063list price
$12.39–$1,063range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | CHIP | $74.42 |
| Superior Health Plan | MCDSTAR | $74.42 |
| Superior Health Plan | STARHealth | $74.42 |
| Superior Health Plan | STARKids | $74.42 |
| Superior Health Plan | STARPLUS | $74.42 |
| Cigna | IFP | $144 |
| Cigna | QHP | $149 |
| United | OptionsPPO | $180 |
| Healthcare Highways | NarrowNetwork | $260 |
| Evry Health | COMM | $274 |
| LifeCare Hospitals | MGMCD | $319 |
| LifeCare Hospitals | MGMCR | $319 |
| Healthcare Highways | CityofPlano | $359 |
| Curative Administrators | COMM | $425 |
| Prominence Health Plan | HIX | $425 |
| BCBS | Traditional | $440 |
| City of McKinney | COMM | $478 |
| Fidelis SecureCare | MGMCR | $478 |
| United | GlobalBenefitPlan | $478 |
| National ChoiceCare | WCOMP | $532 |
| Aetna | ASA | $537 |
| Aetna | WCOMP | $585 |
| PC Texas Partners | WCOMP | $585 |
| Physicians Coop of TX | MGMCR | $585 |
| Rockport Health Group | WORKERSCOMP | $585 |
| Averde Health, Inc | PPO | $617 |
| Aetna Coventry First Health | EXCLUSIVE | $625 |
| Aetna Coventry First Health | NONEXCLUSIVE | $625 |
| Texas Healthcare Foundation WC | WORKERSCOMP | $691 |
| Coastal Comp Health Networks | WCOMP | $744 |
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