IV push, single drug at Kona Community Hospital. CPT 96374.
What Kona Community Hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$78.65cash price (self-pay)
$423list price
$24.47–$1,600range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHealthcare | Medicaid | $30.68 |
| Kaiser Permanente | Medicaid | $216 |
| AlohaCare | Medicaid | $251 |
| AlohaCare | Medicare | $251 |
| Hawaii Medical Service Association | Medicare | $251 |
| Kaiser Permanente | Medicare | $251 |
| Ohana Health Plan | Medicare | $251 |
| UnitedHealthcare | Medicare | $251 |
| Humana | Medicare | $251 |
| Kaiser Permanente | Commercial | $266 |
| Devoted Health | Medicare | $276 |
| Ohana Health Plan | Medicaid | $276 |
| University Health Alliance | Commercial | $308 |
| Health Management Network | Commercial | $360 |
| Hawaii Western Management Group | Commercial | $402 |
| MDX Hawaii | PPO | $410 |
| Hawaii Medical Service Association | Non-ABD | $520 |
| Hawaii Medical Service Association | ABD | $560 |
| Hawaii Medical Service Association | Commercial | $957 |
Inpatient
$275cash price (self-pay)
$423list price
$360–$410range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Management Network | Commercial | $360 |
| MDX Hawaii | PPO | $410 |
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