IV push, single drug at Texoma Medical Center Behavioral Health Center. CPT 96374.
What Texoma Medical Center Behavioral Health Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$411cash price (self-pay)
$561list price
$43.40–$430range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior | Medicaid | $44.39 |
| Molina | Medicaid | $46.63 |
| Tchp Star | Medicaid | $50.84 |
| Superior Hlth Str Pls | Medicaid | $93.21 |
| UHC Star Plus | Medicaid | $93.21 |
| Wellpt Amgrp Str Pls | Medicaid | $93.21 |
| Molina Star Plus | Medicaid | $97.86 |
| Blue_cross_blue_shield_of_tx | Qhp | $99.10 |
| Wellpoint Starkids | Medicaid | $103 |
| Blue_cross_blue_shield_of_tx | HMO | $115 |
| Blue_cross_blue_shield_of_tx | PPO | $127 |
| Aetna | Managed_care | $143 |
| Coventry_healthfirst | Managed_care | $146 |
| Amerigroup | Medicaid | $156 |
| Superior Star | Medicaid | $156 |
| UHC Star | Medicaid | $156 |
| Tchp | Medicaid | $164 |
| Oklahoma | Medicaid | $171 |
| Multiplan | Managed_care | $299 |
| Humana | Managed_care | $327 |
| Healthchoice | Managed_care | $369 |
| Healthsmart | Managed_care | $420 |
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All common services at Texoma Medical Center Behavioral Health Center