IV push, single drug at Saint Alphonsus Medical Center Baker City. CPT 96374.
What Saint Alphonsus Medical Center Baker City publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$371cash price (self-pay)
$571list price
$36.00–$560range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Ks | Medicaid | $251 |
| Medicaid - Ia | Medicaid | $251 |
| Medicaid - In | Medicaid | $251 |
| Medicaid - IL | Medicaid | $251 |
| Ada County Jail Inmate Ins | Medicaid County | $251 |
| Sunshine State Health Plan | Medicaid | $251 |
| Molina Centennial Care | Medicaid | $251 |
| Prestige Health Choice | Medicaid | $251 |
| Medicaid Oos Nhi | Medicaid | $251 |
| Blue Cross - Nm Medicaid Advantage | Medicaid | $251 |
| Magellan Behavioral Health Medicaid | Medicaid | $251 |
| Fallon Health Medicaid Advantage | Medicaid | $251 |
| Rx Medicaid | Medicaid | $251 |
| Tufts Health Public Plans | Medicaid | $251 |
| Community Health Choice | Medicaid | $251 |
| Sandhills Center Lme | Medicaid | $251 |
| Centurion Of Idaho | Medicaid County | $251 |
| Vaya Health Lme | Medicaid | $251 |
| Partners Behavioral Lme | Medicaid | $251 |
| Cardinal Innovations Lme | Medicaid | $251 |
| Moda Health | Moda Select | $413 |
| Columbia Health Network | Columbia Health First Choice Network | $485 |
| Wc Domestic | Regence Bs | $500 |
| Kaiser Domestic | Regence Bs | $500 |
| Humana | Humana | $502 |
| Aetna | Aetna | $529 |
| Meritain | Aetna | $529 |
| Geha | Aetna | $529 |
| Healthez | Aetna | $529 |
| Christian Brother Services | Aetna | $529 |
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All common services at Saint Alphonsus Medical Center Baker City