IV push, single drug at Rideout Memorial Hospital. CPT 96374.
What Rideout Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 6, 2026.
Outpatient / ER
$126cash price (self-pay)
$644list price
$53.81–$1,063range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bc Mcal | Bc Mcal | $53.81 |
| Kaiser Mcal | Kaiser Mcal | $71.46 |
| Medi-Cal | Medi-Cal | $71.46 |
| CA Health And Wellness- All Plans | CA Health And Wellness- All Plans | $88.61 |
| Celtic Mcaid-All Plans | Celtic Mcaid-All Plans | $88.61 |
| Healthnet Mcal | Healthnet Mcal | $129 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $275 |
| Tricare Blue Shield-All Plans | Tricare Blue Shield-All Plans | $275 |
| UHC Mcr Adv | UHC Mcr Adv | $275 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $277 |
| Aetna-All Plans | Aetna-All Plans | $455 |
| Healthnet Comm-All Other Plans | Healthnet Comm-All Other Plans | $469 |
| Kaiser-All Other Plans | Kaiser-All Other Plans | $489 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $494 |
| Blue Cross-All Other Plans | Blue Cross-All Other Plans | $496 |
| Blue Shield Uc Care Members | Blue Shield Uc Care Members | $515 |
| UHC Jll | UHC Jll | $521 |
| Cigna-All Plans | Cigna-All Plans | $549 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $559 |
| First Health-All Plans | First Health-All Plans | $564 |
| Phcs-All Plans | Phcs-All Plans | $567 |
| Interplan-All Plans | Interplan-All Plans | $580 |
| Blue Shield-All Other Plans | Blue Shield-All Other Plans | $612 |
| Multiplan-All Plans | Multiplan-All Plans | $612 |
| Partnership Hp Mcal -All Plans | Partnership Hp Mcal -All Plans | $1,063 |
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