IV push, single drug at Southwestern Vermont Medical Center. CPT 96374.
What Southwestern Vermont Medical Center publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$71.40cash price (self-pay)
$283list price
$10.36–$274range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CDPHP | Medicaid/CHP | $10.36 |
| MVP | Medicaid | $28.86 |
| MVP | Essential plan 1,2,5,6 | $28.86 |
| UHC | Medicaid | $28.86 |
| BMC | Healthnet Plan | $31.64 |
| HNE | Medicaid | $31.64 |
| Health New England | Commercial | $40.83 |
| MVP | NY Exchange Individual Plans | $41.96 |
| Allegiance | SWVT Employee Only | $46.62 |
| UHC | Commercial | $46.62 |
| CDPHP | Commercial/Exchange | $47.62 |
| MVP | VT Commercial/VT Exchange | $55.14 |
| MVP | NY Commercial/ Exchange Group plans | $55.14 |
| Blue Cross | All Vermont Plans | $66.55 |
| Tufts | Commercial | $74.11 |
| Harvard Pilgrim | Commercial | $77.52 |
| Aetna | PPO | $78.06 |
| Cigna | Commercial | $78.13 |
| CIGNA | Medicare Advantage | $215 |
| CDPHP | Medicare | $215 |
| Blue Cross | Medicare | $215 |
| Fidelis | Medicare | $215 |
| HNE | Medicare | $215 |
| Humana | Medicare | $215 |
| MVP | Medicare | $215 |
| UHC | Medicare | $215 |
| Wellcare | Medicare | $215 |
| Aetna | Medicare | $215 |
| Fidelis | Medicaid | $215 |
| Fidelis | CHP | $215 |
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