IV push, single drug at Carilion Giles Community Hospital. CPT 96374.
What Carilion Giles Community Hospital publishes for this service, straight from its standard-charges file, last updated December 15, 2025.
Outpatient / ER
$222cash price (self-pay)
$634list price
$32.09–$1,096range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Healthkeeper Plus | Managed Medicaid | $32.09 |
| Sentara Health Plan | Managed Medicaid | $32.70 |
| Humana Medicaid | Managed Medicaid | $33.62 |
| ABH of VA (formerly Coventry) | Managed Medicaid | $33.62 |
| ABH of WVA (formerly Coventry) | Managed Medicaid | $33.62 |
| United Healthcare - Medicaid | Managed Medicaid | $33.62 |
| Humana Military | Tricare | $186 |
| Aetna - Medicare Prime | Medicare Advantage | $187 |
| Humana - Dual Eligible | Dual Eligible | $195 |
| Anthem - Medicare Advantage | Medicare Advantage | $203 |
| Humana | Medicare Advantage | $203 |
| Aetna - Medicare | Medicare Advantage | $205 |
| United Healthcare - Medicare | Medicare Advantage | $205 |
| Sentara Health Plan | Medicare Advantage | $209 |
| United Healthcare - RCPS | Commercial | $318 |
| Aetna - Preferred | Commercial | $323 |
| Aetna | Choice POS II | $328 |
| Gateway - Tier 3 | Commercial | $349 |
| United Healthcare - Non Option PPO | Commercial | $362 |
| Sentara Health Plan | Commercial | $393 |
| VHN - ULTRA | Commercial | $393 |
| Aetna - BoB | Commercial | $421 |
| Cigna - HMO | Commercial | $427 |
| Connecticare | Commercial | $444 |
| Cigna - PPO | Commercial | $456 |
| United Healthcare - Options PPO | Commercial | $457 |
| VHN - PLUS | Commercial | $488 |
| Gateway - Tier 2 | Commercial | $507 |
| VHN | Commercial | $507 |
| United Healthcare - OneNet PPO | Commercial | $518 |
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