IV push, single drug at San Dimas Community Hospital. CPT 96374.
What San Dimas Community Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$272cash price (self-pay)
$1,676list price
$49.82–$1,676range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AIDS Healthcare Foundation | Aids Health Care Foundation Medi-cal | $49.82 |
| Blue Shield of Promise | Blue Shield Of Promise Medi-Cal | $49.82 |
| Heritage Provider Network Inc | Heritage Provider Network Medi-Cal | $49.82 |
| LA Care Health Plan | L A Care Health Plan Medi-cal | $49.82 |
| Anthem Blue Cross | Anthem Blue Cross Medi-Cal | $52.31 |
| Health Net of CA | Health Net Of CA Medi-Cal | $53.31 |
| Anthem Blue Cross | Anthem Blue Cross Exchange (09-01-2023 to 12-31-20 | $55.62 |
| Blue Shield of CA | Blue Shield Of CA Exchange | $58.00 |
| Anthem Blue Cross | Anthem Blue Cross Commercial (09-01-2023 to 12-31- | $66.44 |
| AIDS Healthcare Foundation | Aids Health Care Foundation MSSP | $272 |
| Anthem Blue Cross | Anthem Blue Cross Medicare | $272 |
| Blue Shield of CA | Blue Sheild Of CA Medicare | $272 |
| Blue Shield of CA | Blue Shield Of CA Triwest | $272 |
| Central Health Plan | Central Health Plan Medicare | $272 |
| Choice Physicians Network | Choice Physicians Network Medicare | $272 |
| Citrus Valley Physicians Group | Citrus Valley Physicians Group Commer | $272 |
| Citrus Valley Physicians Group | Citrus Valley Physicians Group Medi-c | $272 |
| Citrus Valley Physicians Group | Citrus Valley Physicians Group Medica | $272 |
| Elite Health Plan | Elite Health Plan (Medicare) | $272 |
| Health Excel Inc | Health Excel Inc Medicare | $272 |
| Health Net of CA | Health Net Federal Services Tricare | $272 |
| Health Net of CA | Health Net Of CA Cal Mediconnect | $272 |
| Health Net of CA | Health Net Of CA Medicare | $272 |
| Heritage Provider Network Inc | Heritage Provider Network Medicare | $272 |
| LA Care Health Plan | LA Care Health Plan Covered CA and Covered Direc | $272 |
| LA Care Health Plan | LA Care Health Plan Duals Cal MediConnect | $272 |
| LA Care Health Plan | LA Care Health Plan Medicare | $272 |
| Molina Healthcare | Molina Exchange | $272 |
| Brand New Day | Brand New Day Medicare | $275 |
| AIDS Healthcare Foundation | Aids Health Care Foundation Medicare | $278 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.