IV push, single drug at Seymour Hospital. CPT 96374.
What Seymour Hospital publishes for this service, straight from its standard-charges file, last updated January 14, 2026.
Outpatient / ER
$124cash price (self-pay)
$177list price
$115–$250range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicare Advantage | Medicare Advantage | $115 |
| United Medicare Advantage | Medicare Advantage | $115 |
| Wellmed | Medicare Advantage | $115 |
| Aetna - Meritain | UNKNOWN | $124 |
| Aetna - HMO/PPO | HMO/PPO/POS | $124 |
| BCBS - HMO/PPO/Blue Advantage | HMO/PPO/Blue Advantage | $142 |
| Cigna - HMO/PPO | HMO/PPO | $142 |
| Galaxy Health Network | HMO/PPO/POS | $142 |
| Texas Medicaid | UNKNOWN | $177 |
| Amerigroup Medicaid | UNKNOWN | $177 |
| Firstcare Medicaid | UNKNOWN | $177 |
| Superior Health | Medicaid | $177 |
| Wellpoint Medicaid | UNKNOWN | $177 |
| Aetna Medicaid | UNKNOWN | $177 |
| Aetna - Medicare Advantage | Medicare Advantage | $200 |
| Triwest | Federal | $200 |
| United HMO/PPO | HMO/PPO | $250 |
| Geha | HMO/PPO/POS | $250 |
Inpatient
$124cash price (self-pay)
$177list price
$124–$223range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna - Meritain | UNKNOWN | $124 |
| Aetna - HMO/PPO | HMO/PPO/POS | $124 |
| BCBS - HMO/PPO/Blue Advantage | HMO/PPO/Blue Advantage | $142 |
| Cigna - HMO/PPO | HMO/PPO | $142 |
| Galaxy Health Network | HMO/PPO/POS | $142 |
| Aetna - Medicare Advantage | Medicare Advantage | $177 |
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