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IV push, single drug at Northwest Texas Healthcare System Behavioral Health. CPT 96374.

What Northwest Texas Healthcare System Behavioral Health 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 planNegotiated 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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All common services at Northwest Texas Healthcare System Behavioral Health