IV push, single drug at CHOC at Mission Hospital. CPT 96374.
What CHOC at Mission Hospital publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$331cash price (self-pay)
$404list price
$49.82–$1,173range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Heritage Provider Network | Heritage Provider Network-Medi-Cal | $49.82 |
| Medi-Cal Out of County | Medi-Cal Out of County Medi-Cal | $49.82 |
| Monarch Health Plan | Monarch Health Plan/Medi-Cal/Cal Optima | $49.82 |
| Noble Mid Orange County | Noble Mid Orange County Medi-Cal/CalOptima | $49.82 |
| Molina Medical Centers - Medi-Cal | Molina Medical Centers - Medi-Cal | $57.29 |
| Medi-Cal Out of County-LA Care | LA Care Medi-Cal Out of County | $64.77 |
| CALOPTIMA Direct | CalOPTIMA Direct | $69.75 |
| Medi-Cal Kaiser | Medi-Cal Kaiser | $74.73 |
| Inland Empire Health Plan | IEHP Medi-Cal Out of County-Inland Empire | $123 |
| Aetna US Healthcare | Aetna US Healthcare HMO/POS In Net | $160 |
| Aetna US Healthcare | Aetna US Healthcare PPO/POS Out Net | $160 |
| MemorialCare MG (formerly Bristol Park MG) HMO/POS In Net | MemorialCa | $222 |
| Oscar Healthcare | Oscar Health Plan PPO EPO | $222 |
| Cigna Healthcare of California | Cigna EPO/PPO | $241 |
| CIGNA HealthCare of California | Cigna Healthcare HMO/POS In Net | $241 |
| Anaheim Memorial Medical Center | Anaheim Memorial Medical Center | $242 |
| Arta Health Network | Arta Health Network HMO/POS In Net | $242 |
| Family Choice Health Network (Fountain Valley Regional Hospital) | Fam | $242 |
| Kaiser Foundation Hospitals | Kaiser Foundation Hospitals HMO | $242 |
| Heritage Provider Network | Heritage Provider Network-HMO | $254 |
| Affiliated Doctors of Orange County | Affiliated Doctors of Orange Cou | $262 |
| Bright Medical Group | Bright Medical Group HMO/POS In Net | $262 |
| Greater Newport Physicians | Greater Newport Physicians HMO/POS In Net | $262 |
| Monarch Healthcare IPA | Monarch Healthcare IPA HMO/POS In Net | $262 |
| Health Net | Health Net HMO/POS In Net | $270 |
| Health Net | Health Net PPO/POS Out Net | $270 |
| Blue Shield Exchange/Covered CA/PPO | Blue Shield Exchange/Covered CA/ | $280 |
| Blue Shield | Blue Shield CalPers PPO | $290 |
| Blue Shield of California | Blue Shield of California HMO/POS/PPO | $290 |
| First Health Affordable | First Health Affordable EPO/PPO | $295 |
Inpatient
$331cash price (self-pay)
$404list price
$149–$476range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Office of Refugee Resettlement-Point Comfort | Point Comfort Underwrit | $182 |
| Anaheim Memorial Medical Center | Anaheim Memorial Medical Center | $242 |
| Affiliated Health Funds | Affiliated Health Funds PPO | $323 |
| PPO Next | PPO Next PPO | $323 |
| MultiPlan | MultiPlan PPO | $363 |
| Other Payor | Other Payor | $404 |
| Self Pay | Self Pay | $404 |
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