IV push, single drug at Lewisgale Hospital-montgomery. CPT 96374.
What Lewisgale Hospital-montgomery publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$1,732cash price (self-pay)
$1,785list price
$301–$1,653range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | NPR | $311 |
| Lifeworks | MCR | $339 |
| Universal Healthcare Group | MCR | $393 |
| Virginia Health Network | ULTRA | $625 |
| Aetna | SharedSavings | $642 |
| United | OptionsPPO | $691 |
| Cigna | HMO | $742 |
| Cigna | PPO | $742 |
| United | GlobalBenefitPlan | $803 |
| Aetna | Broad | $946 |
| Greenvbrier Sporting Club | COMM | $1,071 |
| Multiplan | PHCS | $1,196 |
| Virginia Health Network | COMM | $1,267 |
| Virginia Health Network | WC | $1,267 |
| CorVel | WorkersComp | $1,285 |
| Richfield Nursing Center | COMM | $1,338 |
| Richfield Retirement Community | COMM | $1,338 |
| Community Care Network | COMM | $1,428 |
| Graham-White Manufacturing | COMM | $1,428 |
| OccuNet Workers Comp | WorkersComp | $1,428 |
| One Health Plan | POS | $1,428 |
| One Health Plan | PPO | $1,428 |
| Phcs | Comm | $1,517 |
| Patients Choice | COMM | $1,570 |
| 4Most | COMM | $1,606 |
| American Postal Workers Union | COMM | $1,606 |
| Star Transportation | COMM | $1,606 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.