IV push, single drug at Texoma Medical Center. CPT 96374.
What Texoma Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$365cash price (self-pay)
$574list price
$38.49–$503range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior | Medicaid | $45.42 |
| Molina | Medicaid | $47.72 |
| Tchp Star | Medicaid | $52.02 |
| Superior Hlth Str Pls | Medicaid | $95.37 |
| UHC Star Plus | Medicaid | $95.37 |
| Wellpt Amgrp Str Pls | Medicaid | $95.37 |
| Blue_cross_blue_shield_of_tx | Qhp | $99.10 |
| Molina Star Plus | Medicaid | $100 |
| Wellpoint Starkids | Medicaid | $106 |
| Blue_cross_blue_shield_of_tx | HMO | $115 |
| Blue_cross_blue_shield_of_tx | PPO | $127 |
| Aetna | Managed_care | $146 |
| Coventry_healthfirst | Managed_care | $149 |
| Amerigroup | Medicaid | $160 |
| Superior Star | Medicaid | $160 |
| UHC Star | Medicaid | $160 |
| Tchp | Medicaid | $168 |
| Oklahoma | Medicaid | $171 |
| Multiplan | Managed_care | $306 |
| Humana | Managed_care | $334 |
| Healthchoice | Managed_care | $369 |
| Healthsmart | Managed_care | $430 |
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