IV push, single drug at Roosevelt Medical Center. CPT 96374.
What Roosevelt Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$280cash price (self-pay)
$280list price
$252–$280range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Three Rivers Provider Network | TRPN workers Comp | $252 |
| Mountain Health Co-op | PPO/POS | $263 |
| UnitedHeathcare | PPO | $263 |
| Blue Cross Blue Sheild | PPO | $263 |
| Three Rivers Provider Network | TRPN commercial plans | $274 |
| Allegiance | PPO | $274 |
| EBMS | SelectCare Network | $274 |
| PacificSource | PPO | $274 |
| Interwest | PPO | $277 |
| First Choice Health Network | Standard/Equitable Plans | $277 |
| Blue Cross Blue Shield | Traditional | $280 |
| Interwest | Traditional Network | $280 |
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