IV push, single drug at Dickenson Community Hospital. CPT 96374.
What Dickenson Community Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$58.65cash price (self-pay)
$255list price
$31.33–$255range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Tenncare United Healthcare | $31.33 |
| Blue Cross | Blue Cross Ballad Health Employee | $48.73 |
| Aetna | Aetna Healthcare Medicare | $76.50 |
| Allcare Medicare | Allcare Medicare | $76.50 |
| Amerigroup | Amerigroup Medicare Wellpoint | $76.50 |
| Blue Cross | Anthem Medicare Virginia | $76.50 |
| Managed Medicaire | Managed Medicaire | $76.50 |
| Sentara Health | Sentara Medicare | $76.50 |
| United Healthcare | United Healthcare Medicare | $76.50 |
| United Mine Workers Of America | United Mine Workers Of America | $76.50 |
| Humana | Humana Medicare | $77.72 |
| Aetna | Aetna Better Health Of Virginia Medicare | $78.80 |
| Molina Healthcare | Molina Healthcare Medicare | $79.56 |
| Cigna Healthcare | Cigna Medicare | $80.33 |
| Devoted Health Plan | Devoted Health Plan Medicare | $80.33 |
| Nhc Advantage | Nhc Advantage | $80.33 |
| Medcost | Medcost Vhn | $89.25 |
| Optima Health | Optima Health Medicaid | $93.90 |
| United Healthcare | United Healthcare Medicaid Virginia | $93.90 |
| Sentara Health | Sentara Health | $94.07 |
| Ambetter | Ambetter | $94.35 |
| United Healthcare | UHC Heritage Select | $95.00 |
| Blue Cross | Anthem Hlthkeep Mediciad | $96.71 |
| Aetna | Aetna Better Health Of Virginia | $97.65 |
| Molina Healthcare | Molina Healthcare Medicaid | $97.66 |
| United Healthcare | UHC Heritage River Valley | $110 |
| Cigna Healthcare | Cigna Individual Family Plan | $118 |
| United Healthcare | United Healthcare | $141 |
| Cigna Healthcare | Cigna HMO | $156 |
| Cigna Healthcare | Cigna Open Access Plus | $156 |
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