IV push, single drug at Palacios Community Medical Center. CPT 96374.
What Palacios Community Medical Center publishes for this service, straight from its standard-charges file, last updated February 1, 2026.
Outpatient / ER
$67.00cash price (self-pay)
$220list price
$31.15–$388range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health Inc. | Medicare Advantage | $117 |
| Molina | Medicare Advantage | $117 |
| Blue Cross Blue Sheild | BAV | $135 |
| Aetna Health Inc. | Commercial | $154 |
| Blue Cross Blue Shield | PAR | $158 |
| Blue Cross Blue Shield | PPO | $158 |
| Blue Cross Blue Shield | Managed Medicaid | $199 |
| Community Health Choice | Managed Medicaid | $199 |
| Molina | Managed Medicaid | $199 |
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