IV push, single drug at UCHealth Memorial Hospital North. CPT 96374.
What UCHealth Memorial Hospital North publishes for this service, straight from its standard-charges file, last updated November 1, 2025.
Outpatient / ER
$212cash price (self-pay)
$470list price
$85.28–$558range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Select Health | Individual Colorado Option | $85.28 |
| Select Health | Individual ACA | $94.44 |
| Kaiser Public Option | Commercial | $109 |
| Kaiser KP Select | Commercial | $143 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $158 |
| Kaiser | HMO | $159 |
| Cigna | Connect Colorado Option | $163 |
| Anthem CU Trust | Commercial | $178 |
| Cigna | Colorado Rockies | $183 |
| Simplified Benefits Administration | Tiered Benefits | $183 |
| Cigna | Local Plus/SureFit/Connect | $190 |
| CMS | Medicare | $212 |
| Anthem | Medicare Advantage | $212 |
| Cigna | Medicare Advantage | $212 |
| Select Health | Medicare Advantage | $212 |
| United Healthcare | Medicare Advantage | $212 |
| Kaiser | Medicare Advantage | $212 |
| Devoted Health | Medicare Advantage | $212 |
| Humana | Medicare Advantage | $212 |
| Aetna | Medicare Advantage | $212 |
| Aetna Core/Meritain | Commercial | $226 |
| Cigna | Broad Networks | $232 |
| Denver Health Medical Plan | HighPoint | $235 |
| Anthem Pathway Standard | Commercial | $237 |
| Aetna ASA | Commercial | $241 |
| Rocky Mountain Health Plan | Private/HCO | $254 |
| First Health | Commercial | $277 |
| United Healthcare | Select Colorado | $323 |
| Multiplan | Commercial | $334 |
| PHCS | Commercial | $334 |
Inpatient
$212cash price (self-pay)
$470list price
$151–$334range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $151 |
| Anthem CU Trust | Commercial | $178 |
| Simplified Benefits Administration | Tiered Benefits | $180 |
| Denver Health Medical Plan | HighPoint | $235 |
| Aetna ASA | Commercial | $241 |
| Rocky Mountain Health Plan | Private/HCO | $254 |
| First Health | Commercial | $277 |
| Multiplan | Commercial | $334 |
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