CPT 96374: Rapid Intravenous Push Medication Administration
Medicare pays $39 and commercial payers pay $92 on average nationally for this procedure.
CPT code 96374 describes a single rapid intravenous push administration of a medication or other substance provided to treat, prevent, or diagnose a condition; the service is an IV push (therapeutic/prophylactic/diagnostic) typically performed by clinical staff in settings such as the emergency department, inpatient hospital, or ambulatory infusion/clinic environments.
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National Reimbursement Benchmarks
Across national payers, Medicare’s mean rate of $39.3 sits substantially below the BUCA commercial average of $92.2, indicating Medicare reimbursement is about $52.9 lower than BUCA’s mean for CPT 96374. This gap highlights a common public-versus-commercial differential: Medicare’s centralized fee schedule yields a lower average payment than the aggregated commercial benchmark represented by BUCA.
Rate dispersion (P75 minus P25) varies meaningfully by payer. Blue Cross Blue Shield shows a dispersion of $55.0 ($134.20 - $80.20), Aetna $50.0 ($94.00 - $41.00), UnitedHealth Group $38.9 ($84.6 - $46.7), Cigna $44.7 ($85.8 - $42.1), and BUCA $49.6 ($114.4 - $64.4). The tightest interquartile spread is with UnitedHealth Group at $38.9, while Blue Cross Blue Shield is the widest at $55.0, with Aetna and BUCA in between.