IV push, single drug at Eastern Idaho Rmc. CPT 96374.
What Eastern Idaho Rmc publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$276cash price (self-pay)
$431list price
$30.16–$756range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | MLTSS | $30.16 |
| Blue Cross | MMCP | $30.16 |
| Select Health ICHN Brightpath | COMM | $126 |
| Select Health Idaho (EIRMC only) | SelectMed | $137 |
| Aetna | IdahoEnvironmentalCoalition | $170 |
| Doug Andrus Distributing | COMM | $172 |
| PacificSource Health | CCNNetworks | $181 |
| University of Utah | HIX | $181 |
| University of Utah | HMP | $181 |
| University of Utah | PPO | $181 |
| Aetna | CWI | $194 |
| United | GlobalBenefitPlan | $194 |
| Aetna | PEAKPERFERENCE | $210 |
| Mountain Health Co-Op | Individual | $215 |
| PacificSource Health | PPO | $231 |
| Cigna | PPO | $237 |
| United | OptionsPPO | $249 |
| First Choice Health Of Washington | WCOMP | $258 |
| Moda | Connexus | $263 |
| Moda | ModaSelect | $263 |
| Dmba | HMO | $277 |
| Dmba | PPO | $277 |
| Mountain Health Co-Op | Group | $323 |
| Prime Health | INDIGENTCARE | $323 |
| EverNorth BH | COMM | $344 |
| Geha PPO Usa | Comm | $344 |
| Multiplan | PRIMARY | $362 |
| Prime Health | GROUPHEALTH | $366 |
| Prime Health | WCOMP | $366 |
| First Choice of the Midwest | COMM | $388 |
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