IV push, single drug at Samaritan Lebanon Community Hospital. CPT 96374.
What Samaritan Lebanon Community Hospital publishes for this service, straight from its standard-charges file, last updated January 31, 2026.
Outpatient / ER
$112cash price (self-pay)
$250list price
$40.60–$349range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Providence | MA-Behavioral Health | $72.50 |
| Providence | Medicare Adv. | $72.50 |
| Samaritan | Medicare Adv. | $73.22 |
| Healthnet | Medicare Adv. | $79.75 |
| Regence | Medicare Adv. | $79.75 |
| Pacificsource | Medicare Adv. | $81.20 |
| Devoted Health | Devoted Health Mcr Advantage | $83.38 |
| Samaritan | EPO | $175 |
| Samaritan | Samaritan Choice | $200 |
| Samaritan | Samaritan Group | $213 |
| Regence | All Products | $225 |
| Aetna | All Products | $238 |
| Cigna | All Products | $243 |
| Healthnet | All Products | $243 |
| Providence | EPO - Pebb/Oebb | $243 |
| Providence | EPO - Non Pebb/Oebb | $243 |
| Providence | Individual-Standard | $243 |
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