IV push, single drug at Permian Regional Medical Center. CPT 96374.
What Permian Regional Medical Center publishes for this service, straight from its standard-charges file, last updated December 3, 2025.
Outpatient / ER
$49.50cash price (self-pay)
$212list price
$38.05–$346range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $38.05 |
| Blue Cross Blue Shield | Commercial | $75.71 |
| Blue Cross Blue Shield | HMO | $88.40 |
| Blue Cross Blue Shield | PPO | $93.15 |
| FirstCare | Managed Medicaid | $110 |
| United Healthcare | Commercial/Exchange | $121 |
| Cigna | Commercial | $144 |
| Humana | Commercial | $159 |
| CapStar Health | Commercial | $170 |
| Humana | Medicare Advantage | $198 |
| Molina Healthcare of Texas | Medicare Advantage | $198 |
| Molina Healthcare of Texas | Marketplace | $198 |
| Molina Healthcare of Texas | Dual Medicare-Medicaid | $198 |
| Blue Cross Blue Shield | Medicare Advantage | $208 |
| Aetna | Medicare Advantage | $346 |
Inpatient
$49.50cash price (self-pay)
$212list price
$64.35–$170range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Commercial | $138 |
| Blue Cross Blue Shield | HMO | $138 |
| Blue Cross Blue Shield | PPO | $138 |
| Cigna | Commercial | $144 |
| CapStar Health | Commercial | $170 |
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