IV push, single drug at Carilion Roanoke Memorial Hospital. CPT 96374.
What Carilion Roanoke Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 17, 2026.
Outpatient / ER
$153cash price (self-pay)
$436list price
$32.09–$774range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Healthkeeper Plus | Managed Medicaid | $32.09 |
| Sentara Health Plan | Managed Medicaid | $32.70 |
| ABH of VA (formerly Coventry) | Managed Medicaid | $33.62 |
| United Healthcare - Medicaid | Managed Medicaid | $33.62 |
| ABH of WVA (formerly Coventry) | Managed Medicaid | $33.62 |
| Humana 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 |
| United Healthcare - Medicare | Medicare Advantage | $205 |
| Aetna - Medicare | Medicare Advantage | $205 |
| Sentara Health Plan | Medicare Advantage | $209 |
| United Healthcare - RCPS | Commercial | $218 |
| Aetna - Preferred | Commercial | $222 |
| Aetna | Choice POS II | $226 |
| Gateway - Tier 3 | Commercial | $240 |
| United Healthcare - Non Option PPO | Commercial | $249 |
| VHN - ULTRA | Commercial | $270 |
| Sentara Health Plan | Commercial | $270 |
| Aetna - BoB | Commercial | $290 |
| Cigna - HMO | Commercial | $294 |
| Connecticare | Commercial | $305 |
| Cigna - PPO | Commercial | $314 |
| United Healthcare - Options PPO | Commercial | $314 |
| VHN - PLUS | Commercial | $336 |
| VHN | Commercial | $349 |
| Gateway - Tier 2 | Commercial | $349 |
| United Healthcare - OneNet PPO | Commercial | $356 |
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