IV push, single drug at Mountains Community Hospital. CPT 96374.
What Mountains Community Hospital publishes for this service, straight from its standard-charges file, last updated January 14, 2026.
Outpatient / ER
$125cash price (self-pay)
$312list price
$49.82–$1,028range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Med Adv | $49.82 |
| Molina | Med Adv | $140 |
| Aetna | Med Adv | $150 |
| Kaiser | All Products | $200 |
| Ccn | All Products | $207 |
| Aetna | All Products | $218 |
| Cigna | All Products | $218 |
| Blue Shield | Covered California | $225 |
| Usa | All Products | $234 |
| Blue Shield | HMO/POS/PPO | $250 |
| Healthnet | All Products | $251 |
| Phcs | All Products | $265 |
| Blue Cross | All Products | $1,028 |
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