IV push, single drug at Memorial Hermann Southeast Hospital. CPT 96374.
What Memorial Hermann Southeast Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$204cash price (self-pay)
$637list price
$214–$406range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $214 |
| Community Health | Medicare Managed Care Plan | $235 |
| Procare Advantage | Medicare Managed Care Plan | $246 |
| Community Health | Prem/Select Exchange | $321 |
| Aetna | Exchange | $331 |
| Community Health | Ultra Exchange | $342 |
| 90 Degrees | All Commercial Plans | $406 |
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