IV push, single drug at Dameron Hospital. CPT 96374.
What Dameron Hospital publishes for this service, straight from its standard-charges file, last updated April 2, 2026.
Outpatient / ER
$280cash price (self-pay)
$660list price
$71.46–$805range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal Ip/Op Only | Medi-Cal Ip/Op Only | $71.46 |
| Hill Physicians Mg Mcal Op Only | Hill Physicians Mg Mcal Op Only | $78.61 |
| Hp Of San Joaquin Mcal Ip/Op Only-All Plans | Hp Of San Joaquin Mcal I | $92.90 |
| Blue Shield Promise Mcal Ip/Op Only | Blue Shield Promise Mcal Ip/Op O | $96.47 |
| Pace Mcal Ip/Op Only | Pace Mcal Ip/Op Only | $107 |
| Blue Shield Ifp/Epn Ip/Op Only | Blue Shield Ifp/Epn Ip/Op Only | $169 |
| Omni Ipa/Medcore Mg Comm Op Only-All Other Plans | Omni Ipa/Medcore Mg | $198 |
| Blue Shield Comm Ip/Op Only-All Other Plans | Blue Shield Comm Ip/Op O | $212 |
| Hill Physicians Mg Mcr Op Only | Hill Physicians Mg Mcr Op Only | $231 |
| Alignment Mcr Adv Ip/Op Only-All Plans | Alignment Mcr Adv Ip/Op Only- | $258 |
| Hill Physicians Mg Comm Op Only-All Other Plans | Hill Physicians Mg C | $264 |
| Easy Choice Hp Mcr Adv Ip/Op Only-All Plans | Easy Choice Hp Mcr Adv I | $272 |
| Aetna Medicare Ip/Op Only | Aetna Medicare Ip/Op Only | $281 |
| Blue Cross Medicare Ip/Op Only | Blue Cross Medicare Ip/Op Only | $281 |
| Blue Shield Mcr Adv Ip/Op Only | Blue Shield Mcr Adv Ip/Op Only | $281 |
| Care 1st Health Plan Mcr Ip/Op Only-All Plans | Care 1st Health Plan M | $281 |
| Commonwealth Care Mcr Ip/Op Only-All Plans | Commonwealth Care Mcr Ip/ | $281 |
| Pace Dual Mcr And Mcal Ip/Op Only-All Other Plans | Pace Dual Mcr And | $281 |
| Usa Mco Mcr Adv Ip/Op Only-All Plans | Usa Mco Mcr Adv Ip/Op Only-All | $281 |
| America'S Choice Mcr Adv Ip/Op Only | America'S Choice Mcr Adv Ip/Op O | $281 |
| Humana Mcr Adv Ip/Op Only-All Plans | Humana Mcr Adv Ip/Op Only-All Pl | $281 |
| Medcore Hp Mcr Adv Ip/Op Only-All Plans | Medcore Hp Mcr Adv Ip/Op Onl | $281 |
| Bright Hlth/Universal Care/Bnd Mcr Adv Ip/Op Only | Bright Hlth/Univer | $286 |
| Imperial Hp Of CA Mcr Adv Ip/Op Only-All Plans | Imperial Hp Of CA Mcr | $314 |
| Networks By Design Non Exclusive Ip/Op Only | Networks By Design Non E | $330 |
| Cdcr (Network Providers, LLC) Ip/Op Only-All Plans | Cdcr (Network Pro | $365 |
| Aetna HMO/PPO Ip/Op Only-All Other Plans | Aetna HMO/PPO Ip/Op Only-Al | $375 |
| First Health Network Ip/Op Only-All Plans | First Health Network Ip/Op | $429 |
| Interplan/Healthsmart Ip/Op Only-All Plans | Interplan/Healthsmart Ip/ | $462 |
| Hrgi-Health Risk Resource Group Ip/Op Only-All Pla | Hrgi-Health Risk | $462 |
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