IV push, single drug at St David's Rehabilitation Hospital. CPT 96374.
What St David's Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$205cash price (self-pay)
$364list price
$10.25–$407range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | CHIP | $18.20 |
| Superior Health Plan | CHPFC | $18.20 |
| Amerigroup | CHIP | $50.96 |
| Amerigroup | MCD | $50.96 |
| Superior Health Plan | AmbetterEPO | $61.88 |
| Superior Health Plan | AmbetterHMO | $61.88 |
| Moda | Hix | $85.54 |
| Covenant Management Systems | HMO | $97.19 |
| Healthcare Highways | EPO | $106 |
| Healthcare Highways | PPO | $109 |
| IMO Med - Select Network | WC | $109 |
| BCBS | Traditional | $116 |
| Nomi Health | COMMTier1OutofNetwork | $116 |
| MODA Health | EPO | $131 |
| Evry Health | BroadNetwork | $134 |
| MODA Health | PPO | $135 |
| Nomi Health | COMMTier1 | $135 |
| Nomi Health | Tier2OutofNetwork | $135 |
| Curative Administrators | COMM | $146 |
| Harbor Health Team | COMMPPO | $146 |
| Aetna | NarrowNetwork | $164 |
| Aetna | COMM | $166 |
| Aetna | Meritain | $166 |
| Comanche County | LOCALGOV | $182 |
| National ChoiceCare | WC | $182 |
| Aetna | ASA | $193 |
| Aetna | OON | $195 |
| HealthSmart Preferred Care | Accel | $200 |
| Independent Medical Systems | COMM | $200 |
| Physicians Cooperative of Texas | WC | $200 |
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