IV push, single drug at Palo Pinto General Hospital. CPT 96374.
What Palo Pinto General Hospital publishes for this service, straight from its standard-charges file, last updated July 8, 2026.
Outpatient / ER
$68.50cash price (self-pay)
$224list price
$47.17–$604range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS TX Blue Essentials | HMO | $47.17 |
| BCBS TX Blue Advantage | PPO | $47.17 |
| BCBS TX PPO | PPO | $49.55 |
| Molina Medicaid | EPO | $56.99 |
| Wellpoint Medicaid | EPO | $56.99 |
| UHC Community Plan | EPO | $56.99 |
| UHC Commercial | PPO | $102 |
| Baylor Scott and White Commercial | POS | $112 |
| Aetna Commercial | PPO | $146 |
| Cigna | PPO | $157 |
| Aetna Medicare Advantage | HMO | $213 |
| Humana Medicare | HMO | $213 |
| Oscar | PPO | $223 |
| Ambetter Commercial Exchange | POS | $245 |
Inpatient
$68.50cash price (self-pay)
$224list price
$45.62–$516range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS TX Blue Essentials | HMO | $74.56 |
| BCBS TX Blue Advantage | PPO | $74.56 |
| BCBS TX PPO | PPO | $78.37 |
| Molina Medicaid | EPO | $159 |
| Wellpoint Medicaid | EPO | $159 |
| UHC Community Plan | EPO | $159 |
| Oscar | PPO | $224 |
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