IV push, single drug at St. Luke's Health - Brazosport Hospital. CPT 96374.
What St. Luke's Health - Brazosport Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$282cash price (self-pay)
$806list price
$93.08–$563range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS-TX | Commercial|Blue Options | $93.08 |
| BCBS-TX | Commercial|PPO-POS | $93.55 |
| BCBS-TX | Commercial|HMO | $99.10 |
| BCBS-TX | Commercial|Traditional | $103 |
| BCBS-TX | Commercial|PPO | $113 |
| Aetna | Medicare|All Plans | $121 |
| BCBS-TX | Commercial|Blue Advantage HMO | $125 |
| BCBS | Medicare|All Plans | $211 |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $211 |
| HUMANA | Medicare|All Plans | $211 |
| KELSEY | Medicare|All Plans | $211 |
| UNITED | Medicare|All Plans | $211 |
| SELECTCARE | Medicare|All Plans | $217 |
| WellcareTP | Medicare|All Plans | $217 |
| Wellpoint | Medicare|All Plans | $217 |
| Community Health Choice | Commercial|Exchange | $222 |
| Devoted | Medicare|All Plans | $226 |
| SCANHealth | Medicare|All Plans | $226 |
| United | Commercial|All Other Plans | $258 |
| Ambetter | Commercial|All Plans | $306 |
| Wellpoint | Commercial|Exchange | $317 |
| Aetna | Commercial|Exchange | $325 |
| United | Commercial|Exchange | $327 |
| Bright Health | Commercial|All Plans | $342 |
| Health First | Commercial|All Plans | $403 |
| Humana | Commercial|All Plans | $518 |
| Entrust | Commercial|All Plans | $539 |
Inpatient
$282cash price (self-pay)
$806list price
$403–$563range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health First | Commercial|All Plans | $403 |
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All common services at St. Luke's Health - Brazosport Hospital