IV push, single drug at St. David's Surgical Hospital. CPT 96374.
What St. David's Surgical Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$310cash price (self-pay)
$415list price
$15.50–$413range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | CHIP | $20.75 |
| Superior Health Plan | CHPFC | $20.75 |
| Superior Health Plan | AmbetterEPO | $70.55 |
| Superior Health Plan | AmbetterHMO | $70.55 |
| Oscar | HIX | $79.68 |
| Oscar | HMO | $79.68 |
| Oscar | EPO | $88.81 |
| Oscar | POS | $88.81 |
| Oscar | PPO | $88.81 |
| Moda | Hix | $97.53 |
| Covenant Management Systems | HMO | $111 |
| Humana | HMO | $115 |
| Humana | PPO | $115 |
| Healthcare Highways | EPO | $121 |
| BCBS | Traditional | $122 |
| Healthcare Highways | PPO | $125 |
| Nomi Health | COMMTier1OutofNetwork | $133 |
| Cigna | NewBusinessNetwork | $133 |
| Cigna | HMO | $142 |
| Cigna | OpenAccess | $142 |
| Cigna | OpenAccessPlus | $142 |
| MODA Health | EPO | $149 |
| Evry Health | BroadNetwork | $153 |
| MODA Health | PPO | $154 |
| Nomi Health | COMMTier1 | $154 |
| Nomi Health | Tier2OutofNetwork | $154 |
| Curative Administrators | COMM | $166 |
| Harbor Health Team | COMMPPO | $166 |
| Cigna | PPO | $170 |
| Aetna | NarrowNetwork | $186 |
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