IV push, single drug at Southern California Hospital at Hollywood. CPT 96374.
What Southern California Hospital at Hollywood publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$724cash price (self-pay)
$724list price
$0.89–$679range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield of California | Covered California/IFP/PPO | $0.89 |
| Blue Shield of California | EPO/PPO/Out of State | $1.11 |
| Blue Shield Promise | Medi-Cal | $49.82 |
| Anthem Blue Cross | Managed Medi-Cal | $50.82 |
| Molina | Managed Medi-Cal | $52.31 |
| Health Net of California | Managed Medi-Cal | $54.80 |
| LA Care | Managed Medi-Cal for PASC-SEIU Members | $59.78 |
| Aids Healthcare Foundation | Managed Medi-Cal | $69.75 |
| LA Care | Managed Medi-Cal | $69.75 |
| Health Net of California | Covered California and PPO Plan | $167 |
| Aetna | Medicare Advantage | $211 |
| Alignment Health Plan | Medicare Advantage | $211 |
| Central Health Plan | Medicare Advantage | $211 |
| Health Net of California | Medicare Advantage | $211 |
| Kaiser | Medicare Advantage/Medi-Cal | $211 |
| LA Care | Medicare Advantage/Covered California | $211 |
| Legacy Health Plan | Medicare Advantage | $211 |
| Molina | Medicare Advantage | $211 |
| Optum Health | Commercial HMO | $211 |
| United Healthcare | Medicare Advantage | $211 |
| Bright Health | Medicare Advantage | $215 |
| Aids Healthcare Foundation | Medicare Advantage | $215 |
| Easy Choice (WellCare) | Medicare Advantage | $215 |
| Imperial Health Plan | Medicare Advantage | $215 |
| Optum Health | Medicare Advantage | $215 |
| Patient Choice | Medicare Advantage | $221 |
| Bright Health | Covered California | $232 |
| Molina | Exchange | $232 |
| Aetna | Exchange | $274 |
| Aetna | All Non-Gatekeeper Plans | $276 |
Inpatient
$724cash price (self-pay)
$724list price
$138–$623range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Managed Medi-Cal | $138 |
| Molina | Medicare Advantage | $145 |
| Molina | Exchange | $156 |
| Prime Health Services | Commercial | $507 |
| PHCS Network | Commercial PPO | $514 |
| American Mental Health Network | Fed Med | $543 |
| Multiplan | Commercial | $623 |
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All common services at Southern California Hospital at Hollywood