IV push, single drug at Memorial Medical Center. CPT 96374.
What Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated September 14, 2026.
Outpatient / ER
$223cash price (self-pay)
$400list price
$35.37–$340range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross HMO | Blue Cross HMO | $103 |
| Blue Cross Options | Blue Cross Options | $103 |
| Blue Cross PPO | Blue Cross PPO | $118 |
| Blue Cross Trad-All Other Plans | Blue Cross Trad-All Other Plans | $118 |
| Triwest Va Pccc-All Plans | Triwest Va Pccc-All Plans | $125 |
| Amerigroup Mcr Adv-All Other Plans | Amerigroup Mcr Adv-All Other Plan | $128 |
| Coventry First Hlth Mcr Adv | Coventry First Hlth Mcr Adv | $128 |
| Multiplan Mcr Adv | Multiplan Mcr Adv | $128 |
| Superior Allwell Mcr Adv-All Other Plans | Superior Allwell Mcr Adv-Al | $128 |
| Care Improvement Plus - All Other Plans | Care Improvement Plus - All | $128 |
| Care Improvement Plus Mcr | Care Improvement Plus Mcr | $129 |
| Universal American Snp | Universal American Snp | $134 |
| Superior Hp Ambetter | Superior Hp Ambetter | $154 |
| Amerigroup Chip | Amerigroup Chip | $226 |
| Amerigroup Star | Amerigroup Star | $226 |
| Amerigroup Star Kids | Amerigroup Star Kids | $226 |
| Amerigroup Star Plus | Amerigroup Star Plus | $226 |
| Comm Health Perinatal-All Other Plans | Comm Health Perinatal-All Othe | $226 |
| Molina Chip/Star-All Plans | Molina Chip/Star-All Plans | $226 |
| UHC Star Plus | UHC Star Plus | $226 |
| Comm Health Chip | Comm Health Chip | $226 |
| Scott & White Chip/Star-All Plans | Scott & White Chip/Star-All Plans | $226 |
| Superior Chip/Star | Superior Chip/Star | $226 |
| Texas Childrens Hp - All Plans | Texas Childrens Hp - All Plans | $226 |
| Comm Health Mcaid HMO | Comm Health Mcaid HMO | $238 |
| Comm Health Star | Comm Health Star | $238 |
| Prime Healthcare Services-All Plans | Prime Healthcare Services-All Pl | $280 |
| Cigna-All Plans | Cigna-All Plans | $300 |
| Humana Tricare-All Plans | Humana Tricare-All Plans | $320 |
| UHC-All Other Plans | UHC-All Other Plans | $320 |
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