IV push, single drug at Johnston Memorial Hospital. CPT 96374.
What Johnston Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$59.70cash price (self-pay)
$398list price
$31.33–$452range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Tenncare United Healthcare | $31.33 |
| Blue Cross | Blue Cross Ballad Health Employee | $48.73 |
| Blue Cross | Tenncare Blue Care | $49.25 |
| Blue Cross | Tenncare Blue Select | $49.25 |
| Optima Health | Optima Health Medicaid | $65.70 |
| Blue Cross | Anthem Hlthkeep Mediciad | $67.67 |
| Molina Healthcare | Molina Healthcare Medicaid | $68.33 |
| Aetna | Aetna Better Health Of Virginia | $68.99 |
| United Healthcare | UHC Heritage Select | $95.00 |
| United Healthcare | UHC Heritage River Valley | $110 |
| Sentara Health | Sentara Health | $134 |
| Medcost | Medcost Vhn | $139 |
| Cigna Healthcare | Cigna HMO | $156 |
| Cigna Healthcare | Cigna Open Access Plus | $156 |
| Cigna Healthcare | Cigna PPO | $156 |
| Cigna Healthcare | Cigna Individual Family Plan | $185 |
| Amerigroup | Amerigroup | $190 |
| Aetna | Aetna Healthcare Medicare | $208 |
| Allcare Medicare | Allcare Medicare | $208 |
| Blue Cross | Blue Cross Medicare | $208 |
| Humana | Humana Medicare | $208 |
| Managed Medicaire | Managed Medicaire | $208 |
| Mountain Empire Pace | Mountain Empire Pace | $208 |
| Sentara Health | Sentara Medicare | $208 |
| Aetna | Aetna Better Health Of Virginia Medicare | $214 |
| Blue Cross | Anthem Medicare Virginia | $214 |
| Amerigroup | Amerigroup Medicare Wellpoint | $216 |
| Molina Healthcare | Molina Healthcare Medicare | $216 |
| Cigna Healthcare | Cigna Medicare | $218 |
| Devoted Health Plan | Devoted Health Plan Medicare | $218 |
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