IV push, single drug at White Memorial Medical Center. CPT 96374.
What White Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated May 23, 2026.
Outpatient / ER
$159cash price (self-pay)
$1,000list price
$64.67–$3,160range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ahp Medi-Cal | Ahp Medi-Cal | $71.46 |
| Alta Los Angeles Mcal 1/1/19 | Alta Los Angeles Mcal 1/1/19 | $71.46 |
| Healthcare Inc Medi-Cal | Healthcare Inc Medi-Cal | $71.46 |
| Medi-Cal | Medi-Cal | $71.46 |
| Molina Medi-Cal | Molina Medi-Cal | $71.46 |
| Pacific Alliance Medi-Cal | Pacific Alliance Medi-Cal | $71.46 |
| Preferred Ipa La Care Mcal Cap | Preferred Ipa La Care Mcal Cap | $71.46 |
| Preferred Healthy | Preferred Healthy | $89.33 |
| Assoc Hispanic Physcns Mcal | Assoc Hispanic Physcns Mcal | $100 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $150 |
| Lasalle Mg Commercial - All Other Plans | Lasalle Mg Commercial - All | $233 |
| Care First Medi-Cal | Care First Medi-Cal | $250 |
| Access Senior - All Other Plans | Access Senior - All Other Plans | $274 |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | Alta Los Angeles Mcr 1/1 | $274 |
| Brand New Day Mcare - All Plans | Brand New Day Mcare - All Plans | $274 |
| Bs Va Mcare | Bs Va Mcare | $274 |
| Healthcare Inc Medicare | Healthcare Inc Medicare | $274 |
| Pacific Alliance Mcare - All Other Plans | Pacific Alliance Mcare - Al | $274 |
| Fcs Ipa Op/Profee Only - All Other Plans | Fcs Ipa Op/Profee Only - Al | $287 |
| Bright Health - All Plans | Bright Health - All Plans | $315 |
| Assoc Hispanic Physcns HMO/Mcr Adv-All Other Plans | Assoc Hispanic Ph | $328 |
| Preferred Commercial - All Other Plans | Preferred Commercial - All Ot | $328 |
| Intergrated Medical - All Plans | Intergrated Medical - All Plans | $356 |
| Molina Benefit Exchange - All Other Plans | Molina Benefit Exchange - | $369 |
| Cigna All Other - All Other Plans | Cigna All Other - All Other Plans | $423 |
| Blue Cross Non Mcs | Blue Cross Non Mcs | $424 |
| Blue Cross Mcs - All Other Plans | Blue Cross Mcs - All Other Plans | $451 |
| Healthnet Comm Care | Healthnet Comm Care | $467 |
| Aetna - All Plans | Aetna - All Plans | $486 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $492 |
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