IV push, single drug at Ogallala Community Hospital. CPT 96374.
What Ogallala Community Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$166cash price (self-pay)
$320list price
$141–$310range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Banner Health | Banner Choice Plus/Banner Select | $141 |
| Blue Cross Blue Shield of Wyoming | Medicare Advantage | $141 |
| Medica | Medicare Advantage | $141 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $141 |
| United Healthcare | UHC Medicare Advantage | $147 |
| United Healthcare | VA Community Care | $147 |
| Molina Healthcare | Medicaid/CHIP | $157 |
| Nebraska Total Care | Medicaid | $157 |
| United Healthcare | Nebraska Medicaid/CHIP | $157 |
| Keith County Sheriff’s Office | Imate/Detainee Plan | $240 |
| Apostrophe, Inc. | Commercial | $288 |
| United Healthcare | Commercial/Individual Exchange | $304 |
| Medica | Commercial | $305 |
| First Health | Medical Rental | $307 |
| Blue Cross Blue Shield of Wyoming | Network Blue | $307 |
| Coventry | Commercial | $307 |
| Coventry | Workers Comp | $307 |
| Midlands Choice | Commercial | $307 |
| Multiplan | Commercial | $310 |
Inpatient
$166cash price (self-pay)
$320list price
$240–$310range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keith County Sheriff’s Office | Imate/Detainee Plan | $240 |
| Apostrophe, Inc. | Commercial | $288 |
| United Healthcare | Commercial/Individual Exchange | $304 |
| First Health | Medical Rental | $307 |
| Blue Cross Blue Shield of Wyoming | Network Blue | $307 |
| Coventry | Commercial | $307 |
| Coventry | Workers Comp | $307 |
| Midlands Choice | Commercial | $307 |
| Multiplan | Commercial | $310 |
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