IV push, single drug at UVA Health Medical Center. CPT 96374.
What UVA Health Medical Center publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$205cash price (self-pay)
$341list price
$13.77–$637range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans [99909] | Uva Hb Veterans Choice | $13.77 |
| CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $37.61 |
| TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $37.61 |
| CIGNA [40005] | UVAMC - Cigna (PPO) | $165 |
| SENTARA [40021] | UVAMC - Optima (Group) | $186 |
| SENTARA BEHAVIORAL HEALTH [40052] | UVAMC - Optima (Group) | $186 |
| BLUE RIDGE PACE [10510] | UVAMC - Managed Medicare (Innovage) | $192 |
| BLUE RIDGE PACE MEDICAID [20513] | UVAMC - Managed Medicare (Innovage) | $192 |
| COMMERCIAL CONTRACTED TPA [40055] | UVAMC - Misc. (Custom Ink) | $205 |
| AETNA IOE MEDICARE [10511] | UVAMC - Managed Medicare (various) | $213 |
| AETNA MEDICARE [10501] | UVAMC - Managed Medicare (various) | $213 |
| ANTHEM MEDICARE [10503] | UVAMC - Managed Medicare (various) | $213 |
| CIGNA HEALTHSPRING MEDICARE [10519] | UVAMC - Managed Medicare (variou | $213 |
| LIFEWORKS MEDICARE [10515] | UVAMC - Managed Medicare (various) | $213 |
| MEDICARE REPLACEMENT GENERIC [10500] | UVAMC - Managed Medicare (vario | $213 |
| MEDICARE REPLACEMENT NONPAR GENERIC [10516] | UVAMC - Managed Medicare | $213 |
| SENTARA MEDICARE [10506] | UVAMC - Managed Medicare (various) | $213 |
| UHC OPTUM MEDICARE [10521] | UVAMC - Managed Medicare (various) | $213 |
| Va Ccn [99927] | Uvamc - Vaccn | $213 |
| VIRGINIA PREMIER MEDICARE [10508] | UVAMC - Managed Medicare (various) | $213 |
| HMO PART B [10099] | UVAMC - Managed Medicare (various) | $213 |
| HUMANA MEDICARE [10505] | UVAMC - Managed Medicare (various) | $213 |
| KAISER PERMANENTE MEDICARE [10513] | UVAMC - Managed Medicare (various | $213 |
| MOLINA COMPLETE CARE MEDICARE [10517] | UVAMC - Managed Medicare (vari | $213 |
| OPTUM MEDICARE [10512] | UVAMC - Managed Medicare (various) | $213 |
| UNITED HEALTHCARE MEDICARE [10507] | UVAMC - Managed Medicare (various | $213 |
| Va Ccn [99926] | Uvamc - Vaccn | $213 |
| UMWA [40037] | UVAMC - Misc. (UMWA) | $239 |
| AETNA [40002] | UVAMC - Aetna UVA Preferred | $252 |
| AETNA [40002] | UVAMC - Aetna (Comm. Book of Business) | $280 |
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