IV push, single drug at Northwest Texas Healthcare System. CPT 96374.
What Northwest Texas Healthcare System publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
—cash price (self-pay)
$856list price
$126–$753range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_cross_blue_shield_of_tx | Advantage | $126 |
| Blue_cross_blue_shield_of_tx | HMO | $138 |
| Blue_cross_blue_shield_of_tx | Managed_care | $148 |
| Blue_cross_blue_shield_of_tx | PPO | $153 |
| Oklahoma | Medicaid | $167 |
| Aetna | Managed_care | $171 |
| Molina | Medicaid | $185 |
| First_care_chip | Medicaid | $203 |
| Scott_and_white_healthplan | Managed_care | $231 |
| Cigna | Managed_care | $284 |
| Wellpoint_starkids | Medicaid | $508 |
| Amerigroup | Medicaid | $560 |
| First_care_star | Medicaid | $616 |
| Wellpoint_ Amgrp_star_plus | Medicaid | $660 |
| Superior_starkids | Medicaid | $683 |
| Multiplan | Managed_care | $685 |
| First_care_star_plus | Medicaid | $726 |
| Superior_star | Medicaid | $753 |
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