IV push, single drug at Adventist Health Clearlake Hospital. CPT 96374.
What Adventist Health Clearlake Hospital publishes for this service, straight from its standard-charges file, last updated July 29, 2026.
Outpatient / ER
$255cash price (self-pay)
$707list price
$71.46–$1,167range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bc Managed Mcal | Bc Managed Mcal | $71.46 |
| Medi-Cal | Medi-Cal | $71.46 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $148 |
| Tricare Blue Shield- All Plans | Tricare Blue Shield- All Plans | $148 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $148 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $154 |
| UHC Mcr Adv | UHC Mcr Adv | $163 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $297 |
| Blue Cross Exchange | Blue Cross Exchange | $348 |
| Blue Cross Non-Mcs | Blue Cross Non-Mcs | $386 |
| Blue Cross Mcs - All Other Plans | Blue Cross Mcs - All Other Plans | $462 |
| Aetna- All Plans | Aetna- All Plans | $528 |
| Western Growers- All Plans | Western Growers- All Plans | $530 |
| Blue Shield Epn - All Other Plans | Blue Shield Epn - All Other Plans | $543 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $543 |
| UHC Jll | UHC Jll | $560 |
| First Health- All Plans | First Health- All Plans | $566 |
| Healthnet- All Plans | Healthnet- All Plans | $580 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $590 |
| Health Mgmt Network- All Plans | Health Mgmt Network- All Plans | $601 |
| Phcs- All Plans | Phcs- All Plans | $601 |
| Foundation- All Plans | Foundation- All Plans | $601 |
| Humana- All Plans | Humana- All Plans | $601 |
| Cigna- All Plans | Cigna- All Plans | $636 |
| Interplan- All Plans | Interplan- All Plans | $636 |
| Three Rivers Provider Network- All Plans | Three Rivers Provider Netwo | $636 |
| Kaiser- All Other Plans | Kaiser- All Other Plans | $636 |
| Partnership Mcal - All Plans | Partnership Mcal - All Plans | $1,167 |
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