IV push, single drug at Methodist Southlake Medical Center. CPT 96374.
What Methodist Southlake Medical Center publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$138cash price (self-pay)
$461list price
$26.40–$580range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS [3001] | Mhs Hb BCBS My Blue Health Msmc | $26.40 |
| BCBS [3001] | Mhs Hb BCBS High Performance Network Msmc | $46.40 |
| BCBS [3001] | Mhs Hb BCBS Premier Msmc | $46.40 |
| BCBS [3001] | Mhs Hb BCBS City Of Dallas Msmc | $48.40 |
| BCBS [3001] | Mhs Hb BCBS HMO Msmc | $49.20 |
| BCBS [3001] | Mhs Hb BCBS PPO Msmc | $53.60 |
| BCBS [3001] | Mhs Hb BCBS Traditional Msmc | $53.60 |
| Champva [1000] | Mhs Hb Tricare Msmc | $201 |
| Tricare [1001] | Mhs Hb Tricare Msmc | $201 |
| Ust Health Proof [1005] | Mhs Hb UHC Medicare Complete Msmc | $214 |
| United Healthcare Medicare Managed Care [3044] | Mhs Hb UHC Medicare C | $214 |
| Globalhealth [1003] | Mhs Hb Global Health Msmc | $225 |
| Humana Commercial [2051] | Mhs Hb Humana Medicare Msmc | $227 |
| United Healthcare Managed Care [3021] | Mhs Hb UHC Exchange Msmc | $229 |
| Aetna Commercial [2042] | Mhs Hb Aetna TX Pref Plus II Msmc | $249 |
| Aetna Managed Care [2068] | Mhs Hb Aetna TX Pref Plus II Msmc | $249 |
| Aetna [3000] | Mhs Hb Aetna Baylor Scott And White Msmc | $258 |
| Aetna Commercial [2042] | Mhs Hb Aetna Texas Advantage Msmc | $263 |
| Aetna Managed Care [2068] | Mhs Hb Aetna Whole Health Msmc | $263 |
| Aetna Managed Care [2068] | Mhs Hb Aetna Texas Advantage Msmc | $263 |
| Web Tpa [3049] | Mhs Hb Aetna Whole Health Msmc | $263 |
| Oscar Insurance Company [2057] | Mhs Hb Oscar HMO Msmc | $278 |
| Bright Healthcare [2222] | Mhs Hb Bright Health Msmc | $300 |
| Aetna [3000] | Mhs Hb Aetna HMO PPO Msmc | $300 |
| Web Tpa [3049] | Mhs Hb Aetna HMO PPO Msmc | $300 |
| Molina [3017] | Mhs Hb Molina Marketplace Msmc | $310 |
| Kempton Group Administrators, Tower Extrusions [3061] | Mhs Hb Tower E | $342 |
| Aetna [3000] | Mhs Hb Aetna Exchange Msmc | $347 |
| Aetna [3000] | Mhs Hb Aetna Cvs Msmc | $347 |
| Allied National [2031] | Mhs Hb 90 Degree Msmc | $353 |
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