IV push, single drug at Lodi Memorial Hospital Association. CPT 96374.
What Lodi Memorial Hospital Association publishes for this service, straight from its standard-charges file, last updated August 2, 2026.
Outpatient / ER
$7.63cash price (self-pay)
$813list price
$40.52–$3,980range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hp Healthy Kids Pro Fee | Hp Healthy Kids Pro Fee | $42.55 |
| Hp Mcal Pro Fee | Hp Mcal Pro Fee | $54.80 |
| Bc Mcal | Bc Mcal | $68.60 |
| Kaiser Mcal | Kaiser Mcal | $71.46 |
| Medi-Cal | Medi-Cal | $71.46 |
| Celtic Ins Company - All Plans | Celtic Ins Company - All Plans | $80.04 |
| Hp Of San Joaquin Mcal | Hp Of San Joaquin Mcal | $89.33 |
| Healthnet Mcal | Healthnet Mcal | $102 |
| Medcore(Omni Ipa) Op Only- All Plans | Medcore(Omni Ipa) Op Only- All | $211 |
| Blue Shield Epn - All Other Plans | Blue Shield Epn - All Other Plans | $263 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $273 |
| Healthnet Mcare | Healthnet Mcare | $281 |
| Hp Of San Joaquin Mcr Adv | Hp Of San Joaquin Mcr Adv | $281 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $281 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $281 |
| Tricare Blue Shield - All Plans | Tricare Blue Shield - All Plans | $281 |
| UHC Mcr Adv | UHC Mcr Adv | $281 |
| Alignment Health Plan (Ahp)-All Plans | Alignment Health Plan (Ahp)-Al | $281 |
| Blue Shield Mcare Adv | Blue Shield Mcare Adv | $281 |
| Cca Health Plan Mcr Adv- All Plans | Cca Health Plan Mcr Adv- All Plan | $281 |
| Aetna - All Plans | Aetna - All Plans | $331 |
| Kaiser Commercial - All Other Plans | Kaiser Commercial - All Other Pl | $333 |
| Knnex Health - All Plans | Knnex Health - All Plans | $337 |
| Healthnet- All Other Plans | Healthnet- All Other Plans | $399 |
| Networks By Design- All Plans | Networks By Design- All Plans | $407 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $505 |
| Blue Cross Exchange | Blue Cross Exchange | $522 |
| Bright Health - All Plans | Bright Health - All Plans | $561 |
| Blue Cross Non-Mcs - All Other Plans | Blue Cross Non-Mcs - All Other | $580 |
| First Health- All Plans | First Health- All Plans | $638 |
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