IV push, single drug at Banner Churchill Community Hospital. CPT 96374.
What Banner Churchill Community Hospital publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$181cash price (self-pay)
$453list price
$118–$439range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $118 |
| Optum | Medicare | $145 |
| Banner Health | Banner Choice Plus/Banner Select | $159 |
| SilverSummit Healthplan | Medicare Advantage | $159 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $159 |
| Humana | Medicare Advantage | $168 |
| Hometown Health | HMO | $408 |
| Hometown Health | PPO/EPO | $408 |
| SilverSummit Healthplan | Commercial Exchange | $408 |
| United Healthcare | Commercial | $408 |
| Anthem Blue Cross Blue Shield Colorado | HMO/Indemnity/PPO/Pathway/Pat | $417 |
| Aetna | Medical Rental Products | $426 |
| Multiplan | Commercial | $426 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $428 |
| Hometown Health | Lease Networks | $430 |
| Coventry | Commercial | $435 |
| Coventry | Workers Comp | $435 |
| Prominence HealthFirst (fka NV Preferred Healthcare Providers) | Comme | $439 |
Inpatient
$181cash price (self-pay)
$453list price
$408–$439range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hometown Health | HMO | $408 |
| Hometown Health | PPO/EPO | $408 |
| SilverSummit Healthplan | Commercial Exchange | $408 |
| United Healthcare | Commercial | $408 |
| Anthem Blue Cross Blue Shield Colorado | HMO/Indemnity/PPO/Pathway/Pat | $417 |
| Multiplan | Commercial | $426 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $428 |
| Hometown Health | Lease Networks | $430 |
| Coventry | Commercial | $435 |
| Coventry | Workers Comp | $435 |
| Prominence HealthFirst (fka NV Preferred Healthcare Providers) | Comme | $439 |
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