IV push, single drug at Brattleboro Memorial Hospital. CPT 96374.
What Brattleboro Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 29, 2025.
Outpatient / ER
$82.18cash price (self-pay)
$362list price
$29.82–$2,660range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth-Caritas | Managed Medicaid | $163 |
| New Hampshire Healthy Families | Managed Medicaid | $163 |
| Wellsense | Managed Medicaid | $163 |
| Anthem | Commercial | $197 |
| Anthem | Individual Pathway Exchange | $202 |
| Anthem | Medicare Advantage | $202 |
| Harvard Pilgrim Health Care | Medicare Advantage | $202 |
| Martin's Point | Medicare Advantage | $202 |
| MVP Healthcare | Medicare Advantage | $202 |
| United Healthcare | Medicare Advantage | $202 |
| Humana | Medicare Advantage | $202 |
| Blue Cross Blue Shield of Vermont | Medicare Advantage | $206 |
| Cigna | Medicare Advantage | $208 |
| New Hampshire Healthy Families (WellCare) | Medicare Advantage | $212 |
| Wellsense | Medicare Advantage | $216 |
| Anthem | Group Pathway Exchange | $283 |
| Tufts Health Plan | Managed Medicaid | $317 |
| Vermont Health Plan | All Plans | $324 |
| Tufts Health Plan | Medicare Advantage | $324 |
| Blue Cross Blue Shield of Vermont | Commercial | $325 |
| MVP Healthcare | Commercial | $325 |
| Tufts Health Plan | All Commercial Plans | $331 |
| Aetna | All Plans | $351 |
| Coventry | All Plans | $351 |
| MultiPlan | All Plans | $351 |
| Harvard Pilgrim Health Care | Exchange | $416 |
| Harvard Pilgrim Health Care | Elevate Health | $544 |
| Harvard Pilgrim Health Care | Commercial | $622 |
| Cigna | Commercial | $679 |
| United Healthcare | Commercial | $679 |
Inpatient
$239cash price (self-pay)
$715list price
$199–$2,660range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Health Care | Exchange | $416 |
| Harvard Pilgrim Health Care | Elevate Health | $544 |
| Tufts Health Plan | Managed Medicaid | $550 |
| Harvard Pilgrim Health Care | Commercial | $622 |
| Tufts Health Plan | Medicare Advantage | $623 |
| Vermont Health Plan | All Plans | $640 |
| Blue Cross Blue Shield of Vermont | Commercial | $644 |
| MVP Healthcare | Commercial | $644 |
| Tufts Health Plan | All Commercial Plans | $650 |
| Cigna | Commercial | $679 |
| United Healthcare | Commercial | $679 |
| Aetna | All Plans | $694 |
| Coventry | All Plans | $694 |
| Health New England | All Plans | $694 |
| MultiPlan | All Plans | $694 |
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