IV push, single drug at Gifford Medical Center. CPT 96374.
What Gifford Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$66.50cash price (self-pay)
$242list price
$33.46–$334range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of New Hampshire | Qualified Health Plan | $107 |
| Blue Cross Blue Shield of Vermont | Medicare Advantage | $109 |
| Martins Point Health Care | Commercial | $109 |
| MVP Health Care of NY | Medicare Advantage | $109 |
| United Healthcare | Medicare Advantage | $109 |
| United Healthcare | VA CCN | $109 |
| Blue Cross Blue Shield of New Hampshire | SHOP On Exchange | $146 |
| Blue Cross Blue Shield of Vermont | Vermont Health Plan | $193 |
| Cigna | Commercial | $194 |
| Harvard Pilgrim Health Care | HMO | $194 |
| Harvard Pilgrim Health Care | PPO | $194 |
| Blue Cross Blue Shield of Vermont | Managed Care | $196 |
| Blue Cross Blue Shield of Vermont | Commercial | $206 |
| MVP Health Care of NY | Commercial | $206 |
| Blue Cross Blue Shield of New Hampshire | Commercial | $217 |
| Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange | $217 |
| Multiplan | Commercial | $225 |
| Aetna of VT | Commercial | $230 |
| United Healthcare | Commercial | $230 |
Inpatient
$66.50cash price (self-pay)
$352list price
$98.43–$334range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of New Hampshire | Commercial | $260 |
| Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange | $260 |
| Blue Cross Blue Shield of Vermont | Vermont Health Plan | $281 |
| Cigna | Commercial | $281 |
| Harvard Pilgrim Health Care | HMO | $281 |
| Harvard Pilgrim Health Care | PPO | $281 |
| Blue Cross Blue Shield of Vermont | Managed Care | $295 |
| Blue Cross Blue Shield of Vermont | Commercial | $299 |
| MVP Health Care of NY | Commercial | $299 |
| Multiplan | Commercial | $327 |
| Aetna of VT | Commercial | $334 |
| United Healthcare | Commercial | $334 |
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