IV push, single drug at St. Mary Medical Center. CPT 96374.
What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$146cash price (self-pay)
$339list price
$49.82–$6,343range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - Anthem | Medicaid|All Plans | $49.82 |
| Noble IPA | Medicaid|< 21 | $56.86 |
| Noble IPA | Medicaid|> 21 | $56.86 |
| HCLA | Medicaid|Preferred IPA < 21 | $57.17 |
| HCLA | Medicaid|Preferred IPA > 21 | $57.17 |
| Inland Empire Health Plan | Medicaid|All Plans | $57.17 |
| Partnership Health Plan | Medicaid|< 21 | $57.17 |
| Partnership Health Plan | Medicaid|> 21 | $57.17 |
| Preferred IPA | Medicaid|Risk | $63.18 |
| Angeles IPA | Medicare|All Plans | $63.18 |
| Health Net | Medicaid|< 21 | $76.04 |
| Health Net | Medicaid|> 21 | $76.04 |
| DHR | Medicaid|< 21 | $84.75 |
| DHR | Medicaid|> 21 | $84.75 |
| Kaiser | Medicaid|< 21 | $85.75 |
| Kaiser | Medicaid|> 21 | $85.75 |
| Molina | Medicaid|All Plans | $88.45 |
| Blue Shield CA | Medicare|BlueShield Promise | $220 |
| LA Care | Medicaid|All Plans | $236 |
| Kaiser | Commercial|All Plans | $237 |
| BCBS - Anthem | Medicare|All Plans | $268 |
| Blue Shield CA | Medicare|All Other Plans | $268 |
| MultiPlan | Commercial|All Plans | $271 |
| Blue Shield CA | Medicaid|All Plans | $316 |
| Care 1st | Medicaid|All Plans | $316 |
| BCBS - Anthem | Commercial|Exchange | $328 |
| HCLA | Commercial|Preferred IPA | $335 |
| LA Care | Commercial|All Plans | $335 |
| Aetna | Commercial|All Other Plans | $339 |
| Aetna | Commercial|HMO | $339 |
Inpatient
$146cash price (self-pay)
$339list price
$237–$339range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Commercial|All Plans | $237 |
| MultiPlan | Commercial|All Plans | $271 |
| SMIPA | Medicare|All Plans | $339 |
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