IV push, single drug at University of Vermont Medical Center. CPT 96374.
What University of Vermont Medical Center publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$374cash price (self-pay)
$374list price
$22.67–$368range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MVP | Essential Plans | $28.44 |
| MVP | Managed Medicaid | $28.44 |
| Fidelis Care | Essential Plans | $38.48 |
| Fidelis Care | Managed Medicaid | $38.48 |
| United Healthcare | Managed Medicaid/Essential Plans | $48.73 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $67.50 |
| Excellus BlueCross BlueShield | Medicare Advantage | $72.30 |
| Capital District Physicians' Health Plan | Managed Medicaid/Essential | $110 |
| Aetna | Medicare Advantage | $123 |
| Capital District Physicians' Health Plan | Medicare Advantage | $123 |
| Humana Military | TRICARE | $123 |
| St. Regis | HMO | $123 |
| United Healthcare | Medicare Advantage | $123 |
| Veterans Affairs Community Care Network | Veterans Administration | $123 |
| BlueCross BlueShield Vermont | Medicare Advantage | $125 |
| Martins Point | TRICARE Prime/Department of Defense | $126 |
| MVP | Medicare Advantage | $126 |
| Fidelis Care | Medicare Advantage | $136 |
| Capital District Physicians' Health Plan | Commercial | $173 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $180 |
| Wellpath | FCI Ray Brook | $183 |
| MVP | Commercial | $201 |
| Excellus BlueCross BlueShield | Commercial | $204 |
| Wellpath | Correctional Healthcare | $206 |
| BlueCross BlueShield Vermont | The Vermont Health Plan/Vermont Health | $210 |
| BlueCross BlueShield Vermont | Indemnity | $244 |
| Cigna | Commercial | $251 |
| United Healthcare | Commercial | $268 |
| Empire BlueCross BlueShield | HMO | $288 |
| Harvard Pilgrim | Commercial | $299 |
Inpatient
$374cash price (self-pay)
$374list price
$105–$337range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military | TRICARE | $105 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $180 |
| Capital District Physicians' Health Plan | Managed Medicaid/Essential | $187 |
| Wellpath | Correctional Healthcare | $206 |
| Excellus BlueCross BlueShield | Commercial | $280 |
| Empire BlueCross BlueShield | HMO | $292 |
| Harvard Pilgrim | Commercial | $299 |
| MagnaCare | Commercial | $299 |
| Coventry | Commercial | $318 |
| EBPA | ERISA Welfare Plans | $322 |
| Cigna | Behavioral Health | $337 |
| NPPN | Commercial | $337 |
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