IV push, single drug at Teton Valley Health Care. CPT 96374.
What Teton Valley Health Care publishes for this service, straight from its standard-charges file, last updated July 21, 2026.
Outpatient / ER
$179cash price (self-pay)
$224list price
$32.09–$217range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Medicaid | Blue Cross Medicaid | $32.09 |
| UHC Medicare Advantage | UHC Medicare Advantage | $103 |
| Humana-All Plans | Humana-All Plans | $105 |
| Prime Health Medicare Advantage | Prime Health Medicare Advantage | $105 |
| Regence Blue Shield Medicare Advantage | Regence Blue Shield Medicare | $105 |
| Triwest-All Plans | Triwest-All Plans | $105 |
| Aetna Medicare | Aetna Medicare | $105 |
| Prime Health Services-All Other Plans | Prime Health Services-All Othe | $105 |
| Select Health Medicare Advantage | Select Health Medicare Advantage | $105 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $106 |
| Regence Blue Shield-All Other Plans | Regence Blue Shield-All Other Pl | $120 |
| First Choice-All Plans | First Choice-All Plans | $202 |
| Moda-All Plans | Moda-All Plans | $202 |
| Blue Cross Qhp | Blue Cross Qhp | $206 |
| Aetna-All Other Plans | Aetna-All Other Plans | $208 |
| Cigna PPO-All Other Plans | Cigna PPO-All Other Plans | $213 |
| St Lukes Brightpath-All Plans | St Lukes Brightpath-All Plans | $213 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $213 |
| Cigna Oap | Cigna Oap | $213 |
| Select Health-All Other Plans | Select Health-All Other Plans | $213 |
| Blue Cross Trad/PPO/POS-All Other Plans | Blue Cross Trad/PPO/POS-All | $217 |
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