IV push, single drug at Medical City Sachse Hospital. CPT 96374.
What Medical City Sachse 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–$904range 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 |
| BCBS | BlueAdvantageHMO | $109 |
| BCBS | MyBlueHealth | $109 |
| Cigna | IFP | $144 |
| Cigna | QHP | $149 |
| United | OptionsPPO | $180 |
| BCBS | BlueEssentials | $193 |
| BCBS | BlueEssentialsAccess | $193 |
| BCBS | Eposoa | $203 |
| Aetna | NewBusiness | $208 |
| BCBS | PPO | $212 |
| Oscar | HIX | $221 |
| Aetna | COMM | $222 |
| Aetna | Meritain | $222 |
| Healthcare Highways | NarrowNetwork | $260 |
| Aetna | OON | $263 |
| Cigna | LocalPlus | $281 |
| Cigna | NewBusiness | $281 |
| Cigna | HMO | $314 |
| Cigna | NetworkBenefit | $314 |
| Cigna | OpenAccessPlus | $314 |
| Healthcare Highways | CityofPlano | $359 |
| Cigna | AllOther | $397 |
| Curative Administrators | COMM | $425 |
| BCBS | Traditional | $440 |
| United | GlobalBenefitPlan | $478 |
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