IV push, single drug at Dominican Hospital. CPT 96374.

What Dominican Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$191cash price (self-pay)

$424list price

$57.17–$7,110range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicaid\|All Plans	$57.17
COSC Psych \| Medicaid\|All Plans	$63.18
Central California Alliance for Health \| Medicaid\|All Plans	$63.18
Health Net \| Medicaid\|< 21	$70.32
Health Net \| Medicaid\|> 21	$70.32
Blue Shield CA \| Commercial\|ACO Trio	$282
Blue Shield CA \| Commercial\|Exchange	$288
Blue Shield CA \| Medicare\|All Plans	$289
Health Net \| Medicare\|All Plans	$289
Kaiser \| Medicare\|All Plans	$289
United \| Medicare\|All Plans	$289
Western Growers \| Commercial\|All Plans	$293
Kaiser \| Commercial\|All Plans	$297
Blue Shield CA \| Commercial\|DHMF	$330
Healthsmart \| Commercial\|All Plans	$339
Blue Shield CA \| Commercial\|All Other Plans	$343
First Health \| Commercial\|All Plans	$360
Multiplan \| Commercial\|All Plans	$360
Aetna \| Commercial\|HMO	$424
Aetna \| Commercial\|PPO	$424
BCBS - Anthem \| Commercial\|MCS	$424
Sutter Health \| Commercial\|All Plans	$906
Cigna \| Commercial\|LocalPlus	$1,089
Cigna \| Commercial\|All Other Plans	$1,159
United \| Commercial\|HMO	$1,377
United \| Commercial\|All Other Plans	$2,076
United \| Commercial\|Options PPO	$2,450
United \| Commercial\|Non-Options PPO	$2,939
Health Net \| Commercial\|Community Care	$4,988
Health Net \| Commercial\|Care Product	$6,074

$191cash price (self-pay)

$424list price

$254–$360range insurers pay

Insurance plan	Negotiated rate
Kaiser \| Commercial\|All Plans	$254
Healthsmart \| Commercial\|All Plans	$339
First Health \| Commercial\|All Plans	$360
Multiplan \| Commercial\|All Plans	$360

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