IV push, single drug at Wj Mangold Memorial Hospital. CPT 96374.
What Wj Mangold Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$116cash price (self-pay)
$149list price
$5.11–$405range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TriCare | TriCare | $44.14 |
| Amerigroup | Medicare Advantage | $61.09 |
| FirstCare | Medicare | $61.09 |
| Humana | Medicare Advantage | $61.09 |
| United HealthCare | Mediare Advantage | $61.09 |
| FirstCare | Commercial | $71.25 |
| FirstCare | PPO | $71.25 |
| Blue Cross Blue Shield | Commercial | $76.00 |
| Cigna HealthCare | Commercial | $76.00 |
| TeamChoice | PPO | $76.00 |
| Aetna Health Inc. | Commercial | $80.75 |
| Amerigroup | CHIP | $96.25 |
| Amerigroup | Medicaid | $96.25 |
| FirstCare | CHIP | $96.25 |
| FirstCare | Medicaid | $96.25 |
| United HealthCare | Commercial | $99.00 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.