IV push, single drug at Portneuf Medical Partners. CPT 96374.
What Portneuf Medical Partners publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$398cash price (self-pay)
$663list price
$61.49–$630range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bannock County Jail [6050] | Bannock County Jail [605000] | $113 |
| Magellan Health Medicaid [5105] | Magellan Health Medicaid [510500] | $113 |
| United Healthcare Centennial Care [2250] | UHC Comm Mcaid Health Pla [ | $113 |
| Pending County Rca [3910] | Pending County Rca [391000] | $113 |
| Healthscope Benefits [2290] | Healthscope Ardent [229001] | $137 |
| Meritain Aetna [3685] | Meritain Aetna Ardent Employee [368502] | $137 |
| Umr - Ardent Employee [2036] | Umr - Ardent Employee [203601] | $137 |
| Employee Benefit Management Services [2445] | Employee Benefit Managem | $272 |
| Web Tpa [2115] | Web Tpa Healthcare Highways [211504] | $272 |
| Healthcare Highways [2210] | Hch John Soules Foods [221011] | $272 |
| Healthcare Highways [2210] | Hch Broken Arrow [221012] | $272 |
| Healthcare Highways [2210] | Hch 90 Degree Benefits [221013] | $272 |
| Black Lung [6055] | Black Lung [605500] | $272 |
| Lucent Health [6000] | Lucent Health [600000] | $272 |
| Moda Health [6100] | Moda Health [610000] | $272 |
| Pacific Source Health Plans [2850] | Pacific Source Health Plans [2850 | $381 |
| Employee Benefit Management Services [2445] | Ebms Bingham Memorial Ho | $398 |
| Medishare Christian Care [1645] | Medishare Christian Care [164500] | $398 |
| Liberty Health Share Lhs/Medcost Solutions LLC [2400] | Liberty Health | $398 |
| Multiplan [1680] | Hma [168003] | $444 |
| First Health [1375] | Tall Tree Administrators [137514] | $547 |
| First Health [1375] | Meritain Health First Health [137516] | $547 |
| Aetna [1015] | Aetna [101529] | $562 |
| Mailhandlers [1595] | Mailhandlers [159500] | $562 |
| Meritain Aetna [3685] | Meritain Aetna [368500] | $562 |
| United Healthcare [2060] | UHC Surest Bind [206032] | $597 |
| Umr [2035] | Umr United Healthcare [203502] | $597 |
| Umr [2035] | United Medical Resources [203503] | $597 |
| Geha [1415] | Geha - Asa [141503] | $597 |
| Phcs [1780] | Phcs Multiplan [178000] | $630 |
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